Active NPI
Mark Alan Knipmeyer, MD
- Anesthesiology Physician
- Chandler, AZ
National Provider Identifier
1669458352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 37055
- Practice address
- 1955 W Frye Rd
Chandler, AZ 85224-6282 - Phone
- (480) 728-3000
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 32469 | IA | |
| Anesthesiology Physician | 207L00000X | 37055 | AZ | Primary |
Addresses
Primary practice location
1955 W Frye Rd
Chandler, AZ 85224-6282
Mailing address
PO Box 6359
Mesa, AZ 85216-6359
Phone (480) 507-2961
Other practice location 1
1227 East Rusholme St
Davenport, IA 52803-2498
Phone (563) 421-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0173864 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071004000800 | AZ | Practitioner - Anesthesiology | 3173502705 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chandler Anesthesia Consultants LLC
Practice addresses (Care Compare)
1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 728-3000
Hospital & facility affiliations
- Chandler Regional Medical Center
- Mercy Gilbert Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32469 | IA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler Anesthesia Consultants LLC | Anesthesiology | Current | Accepting new patients |
| Christopher Beneduce | Anesthesiology | Current | Accepting new patients |
| Arizona Spine and Joint Hospital LLC | Current | Accepting new patients | |
| Premier Anesthesia Consultants, PC | Anesthesiology | Current | Accepting new patients |
| Anesthesia & Analgesia PC | Anesthesiology | Past | Accepting new patients |
| Anesthesia Resources LTD | Anesthesiology | Past | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
Interoperability endpoints
- mknipmeyer@direct.uspi.com
- markknipmeyer@asjh.medalliesdirect.net
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Chandler, AZ
- NPI 1881632552
Anesthesiology, AZ
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1639176845
Anesthesiology, AZ
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
Hospital & facility affiliations 2
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": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1669458352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6359",
"city": "MESA",
"state": "AZ",
"postal_code": "852166359",
"telephone_number": "480-507-2961",
"fax_number": "480-507-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 W FRYE RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246282",
"telephone_number": "480-728-3000"
}
],
"practiceLocations": [
{
"address_1": "1227 East Rusholme St",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528032498",
"country_code": "US",
"telephone_number": "563-421-1000",
"fax_number": "563-421-7889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNIPMEYER",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "32469",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "37055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0173864",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.