Individual provider Active NPI

Mark Timothy Steinhauser, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1750948436
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085007152 Issued in IL
Practice address
259 E Erie St
Chicago, IL 60611
Phone
(312) 695-6868
NPI assigned
May 28, 2019
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 1163429
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 085007152 IL Primary

Addresses

Primary practice location

259 E Erie St
Chicago, IL 60611

Mailing address

680 N Lake Shore Dr
Chicago, IL 60611-4546
Phone (312) 695-6868

Other practice location 1

259 E Erie St
Chicago, IL 60611
Phone (312) 695-6868

Other practice location 2

350 N Grandview Ave
Dubuque, IA 52001-6388
Phone (563) 582-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210818001505 IA Practitioner - Physician Assistant 5991033979 Reassigns benefits to 2 organizations
I20240521002772 TX Practitioner - Physician Assistant 5991033979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Northwestern University Feinberg Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubuque Emergency Physicians PCGroup PAC ID 9032001797, 10 clinicians

Practice addresses (Care Compare)

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (319) 589-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085007152ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
The Finley Hospital Multi-Specialty CurrentSince Sep 1, 2021 Accepting new patients
Dubuque Emergency Physicians PC Multi-Specialty CurrentSince Jan 25, 2026 Accepting new patients

Locations

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

Interoperability endpoints

  • Direct secure messaging: msteinhauser246618@direct.unitypoint.org
  • Direct secure messaging: mtsteinhauser@direct.y-chc.org

Organizations & group practices 5

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.

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1750948436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-695-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-695-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 E Erie St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60611",
            "country_code": "US",
            "telephone_number": "312-695-6868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 N Grandview Ave",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520016388",
            "country_code": "US",
            "telephone_number": "563-582-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEINHAUSER",
        "first_name": "MARK",
        "middle_name": "TIMOTHY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1163429",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.