Individual provider Active NPI

Mark M Souweidane, MD

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1376527929
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
188037 Issued in NY
Practice address
525 E 68TH St
Box 99
New York, NY 10021-4870
Phone
(212) 746-2363
Fax
(212) 746-5592
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 188037 NY Primary

Addresses

Primary practice location

525 E 68TH St
Box 99
New York, NY 10021-4870

Mailing address

525 E 68TH St
Box 99
New York, NY 10021-4870
Phone (212) 746-2363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040514001168 NY Practitioner - Neurosurgery 1658361225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Wayne State University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

1305 York Ave
New York, NY 10021-5663

520 E 70TH St
New York, NY 10021-9800
Phone (646) 962-2012

525 E 68TH St
New York, NY 10065-4870

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score
85.97 of 100Reported as group
Quality
82.74
Improvement activities
40
Cost
79.62

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mskcc Surgery Group CurrentSince Jun 1, 2016 Accepting new patients
Weill Medical College of Cornell Neurological Surgery CurrentSince Oct 20, 2000 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 20, 2000 Accepting new patients
Weill Medical College of Cornell Neurological Surgery Current Accepting new patients
Memorial Hospital for Cancer and Allied Diseases Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

121 DeKalb Ave
Rm 7E
Brooklyn, NY 11201
Phone (212) 746-2385

263 7th Ave
Brooklyn, NY 11215
Phone (718) 246-8510

515 6th St
Brooklyn, NY 11215
Phone (718) 780-3031

525 E 68th St
#99
New York, NY 10065
Phone (212) 746-2363

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

1305 York Ave
Fl 9
New York, NY 10021
Phone (646) 962-3376

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

520 E 70th St
#651
New York, NY 10021
Phone (212) 746-2385

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mmsouwei@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: msouweidane39085@mskcc.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1376527929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "BOX 99",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214870",
            "telephone_number": "212-746-2363",
            "fax_number": "212-746-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "BOX 99",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214870",
            "telephone_number": "212-746-2363",
            "fax_number": "212-746-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUWEIDANE",
        "first_name": "MARK",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "188037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.