Individual provider Active NPI

Mark French Kneuper, MD

  • Surgery Physician
  • New Braunfels, TX
National Provider Identifier
1497738272
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H2511 Issued in TX
Practice address
652 North Houston
Suite 3
New Braunfels, TX 78130-4123
Phone
(830) 625-6258
Fax
(830) 629-6258
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H2511 TX Primary

Addresses

Primary practice location

652 North Houston
Suite 3
New Braunfels, TX 78130-4123

Mailing address

652 North Houston
Suite 3
New Braunfels, TX 78130-4123
Phone (830) 625-6258

Other identifiers 2

IdentifierTypeStateIssuer
098690301MedicaidTX
020031592OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110401000440 TX Practitioner - General Surgery 9739167818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical Branch at Galveston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1929 State Hwy 46 W
Suite 105
New Braunfels, TX 78132-5337
Phone (830) 625-6258

Hospital & facility affiliations

  • Children'S Hospital of San Antonio Hospital, San Antonio, TX, CCN 453315

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Upper gastrointestinal (GI) endoscopy for acid reflux13
Varicose vein removal119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2511TXMDSurgery Physician

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.

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1497738272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 NORTH HOUSTON",
            "address_2": "SUITE 3",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304123",
            "telephone_number": "830-625-6258",
            "fax_number": "830-629-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 NORTH HOUSTON",
            "address_2": "SUITE 3",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304123",
            "telephone_number": "830-625-6258",
            "fax_number": "830-629-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEUPER",
        "first_name": "MARK",
        "middle_name": "FRENCH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H2511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098690301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020031592",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.