Individual provider Active NPI

Mark Vaughn Larkins, MD

  • Neurological Surgery Physician
  • Monroeville, PA
National Provider Identifier
1740230317
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD045460E Issued in PA
Practice address
2580 Haymaker Rd Ste 106
Monroeville, PA 15146-3500
Phone
(412) 858-7766
Fax
(412) 858-7769
NPI assigned
May 12, 2006
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 01085101A IN
Neurological Surgery Physician 207T00000X MD26048 ME
Neurological Surgery Physician 207T00000X 52235 SC
Neurological Surgery Physician 207T00000X MD045460E PA Primary

Addresses

Primary practice location

2580 Haymaker Rd Ste 106
Monroeville, PA 15146-3500

Mailing address

2580 Haymaker Rd Ste 106
Monroeville, PA 15146-3500
Phone (412) 858-7766

Other practice location 1

360 Broadway
Bangor, ME 04401-3900
Phone (207) 907-1617

Other practice location 2

3 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6862
Phone (803) 434-8323

Other practice location 3

2525 W University Ave Ste 401
Muncie, IN 47303-3433
Phone (765) 741-5730

Other identifiers 5

IdentifierTypeStateIssuer
103704013MedicaidPA
11097714OtherCAQH
068010678OtherINMEDICARE PTAN
300046661MedicaidIN
Q00107149OtherINRAILROAD PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mlarkins231564@direct.ahn.org
Direct Messaging Address mlarkins@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210114000745 IN Practitioner - Neurosurgery 3072565175 Reassigns benefits to 3 organizations
I20240624003610 VA Practitioner - Neurosurgery 3072565175 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71942CAMDPharmacist
MD26048MEMDNeurological Surgery Physician
52235SCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. CurrentSince Feb 15, 2021 Accepting new patients
Arnett Clinic, LLC CurrentSince Apr 1, 2021 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Apr 4, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Feb 15, 2021 Accepting new patients
Arnett Clinic, LLC CurrentSince Apr 1, 2021 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Lewis Gale Physicians LLC CurrentSince May 30, 2024 Accepting new patients
Larkins Neurosurgery PA Neurological Surgery PastSince Jul 9, 2011 Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

7216 Solutions Ctr
Chicago, IL 60677

8016 Reliable Pkwy
Chicago, IL 60686

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

2600 Greenbush St
Lafayette, IN 47904

3750 Landmark Dr
Ste B
Lafayette, IN 47905
Phone (765) 448-7981

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2525 W University Ave
Ste 401
Muncie, IN 47303
Phone (765) 286-0236

2525 W University Ave
Ste 503
Muncie, IN 47303
Phone (765) 288-0441

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: mlarkins@direct.iuhealth.org
  • Direct secure messaging: mlarkins650962@direct.ghs.myhfn.org
  • Direct secure messaging: mlarkinsmd355121@carlehiedirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1740230317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD STE 106",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463500",
            "telephone_number": "412-858-7766",
            "fax_number": "412-858-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 HAYMAKER RD STE 106",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463500",
            "telephone_number": "412-858-7766",
            "fax_number": "412-858-7769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013900",
            "country_code": "US",
            "telephone_number": "207-907-1617",
            "fax_number": "207-907-1627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Richland Medical Park Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036862",
            "country_code": "US",
            "telephone_number": "803-434-8323",
            "fax_number": "803-434-8326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 W University Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473033433",
            "country_code": "US",
            "telephone_number": "765-741-5730",
            "fax_number": "765-282-7879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARKINS",
        "first_name": "MARK",
        "middle_name": "VAUGHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01085101A",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "ME",
            "license": "MD26048",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "52235",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD045460E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103704013",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11097714",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068010678",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300046661",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "Q00107149",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlarkins231564@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2580 Haymaker Rd Ste 106",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlarkins@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2525 W University Ave Ste 401",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.