Individual provider Active NPI

Mark E. Query, M.D.

  • Otolaryngology Physician
  • Danville, IN
National Provider Identifier
1184989220
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01077630A Issued in IN
Practice address
100 Hospital LN Ste 220
Danville, IN 46122-1845
Phone
(317) 745-3758
Fax
(317) 745-3749
NPI assigned
Jul 4, 2012
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MTL002742 DC
Otolaryngology Physician 207Y00000X 01077630A IN Primary

Addresses

Primary practice location

100 Hospital LN Ste 220
Danville, IN 46122-1845

Mailing address

100 Hospital LN Ste 220
Danville, IN 46122-1845
Phone (317) 745-3758

Other identifiers 1

IdentifierTypeStateIssuer
300050161MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519000145 IN Practitioner - Otolaryngology 4789824186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

100 Hospital LN
Suite 220
Danville, IN 46122-1845
Phone (317) 745-3758

1000 E Main St
Danville, IN 46122-1948

8244 E US Hwy 36
Avon, IN 46123-9688

8244 E US Hwy 36 1100
Hendricks Community Hospital
Avon, IN 46123-9627
Phone (317) 272-7500

8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MTL002742DCMDOtolaryngology Physician
01077630AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Otolaryngology CurrentSince Jun 19, 2023 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Jun 19, 2023 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Northside ENT, Inc PastSince Jul 1, 2021 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

100 Hospital Ln
Ste 220
Danville, IN 46122
Phone (317) 718-6236

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: mquery400874@direct-prd.stelizabeth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1184989220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL LN STE 220",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221845",
            "telephone_number": "317-745-3758",
            "fax_number": "317-745-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL LN STE 220",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221845",
            "telephone_number": "317-745-3758",
            "fax_number": "317-745-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERY",
        "first_name": "MARK",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-04",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DC",
            "license": "MTL002742",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01077630A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300050161",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

Verify at the official NPI Registry.