Active NPI
Mark Steven Souder, MD
- Family Medicine Physician
- Auburn, IN
National Provider Identifier
1245218973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01026373A
- Practice address
- 1310 E 7TH St
Auburn, IN 46706-2534 - Phone
- (260) 925-0305
- Fax
- (260) 925-6041
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01026373A | IN | Primary |
Addresses
Primary practice location
1310 E 7TH St
Auburn, IN 46706-2534
Mailing address
1310 E 7TH St
Auburn, IN 46706-2534
Phone (260) 925-0305
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081664279 | Other | RR MEDICARE | |
| 100053210A | Medicaid | IN | |
| 000000083986 | Other | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1310 E 7TH St
Suite J
Auburn, IN 46706-2518
Phone (260) 925-0305
Hospital & facility affiliations
- Parkview Health at Home LLC
- Parkview Dekalb Hospital
- Parkview Regional Medical Center
- Cameron Health
- Parkview Noble Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 16 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 47 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026373A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colon-Rectal Surgeons of Fort Wayne, PC | Current | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Auburn, IN
- NPI 1407139546
-
- Family Nurse Practitioner
- Auburn, IN
- NPI 1063087534
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Fort Wayne, IN
- NPI 1104026657
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
dba Parkview Noble Hospital
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
dba Parkview Dekalb Hospital
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
- Home Health Agency
- Fort Wayne, IN
- NPI 1861252918
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1245218973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 E 7TH ST",
"city": "AUBURN",
"state": "IN",
"postal_code": "467062534",
"telephone_number": "260-925-0305",
"fax_number": "260-925-6041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 E 7TH ST",
"city": "AUBURN",
"state": "IN",
"postal_code": "467062534",
"telephone_number": "260-925-0305",
"fax_number": "260-925-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUDER",
"first_name": "MARK",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01026373A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "081664279",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100053210A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000083986",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.