Active NPI
Mark Timothy Steinhauser, PA-C
- Physician Assistant
- Chicago, IL
National Provider Identifier
1750948436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085007152
- Practice address
- 259 E Erie St
Chicago, IL 60611 - Phone
- (312) 695-6868
- NPI assigned
- May 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1163429 | ||
| Physician Assistant | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1163429 | Other | NATIONAL CERTIFICATION ON THE COMMISSION OF PHYSICIAN ASSISTANTS (NCCPA) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
250 Mercy Dr
Dubuque, IA 52001-7320
Phone (319) 589-8000
Hospital & facility affiliations
- Mercyone Dubuque Medical Center
- Finley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085007152 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Dubuque Emergency Physicians PC | Multi-Specialty | Current | Accepting new patients |
| The Finley Hospital | Multi-Specialty | Current | Accepting new patients |
Locations
350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881
250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000
Interoperability endpoints
- mtsteinhauser@direct.y-chc.org
- msteinhauser246618@direct.unitypoint.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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Dubuque, IA
- NPI 1447295365
Multi-Specialty
-
- Family Medicine Physician
- Dubuque, IA
- NPI 1073560462
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dubuque, IA
- NPI 1659348506
-
- General Acute Care Hospital
- Dubuque, IA
- NPI 1942392600
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION ON THE COMMISSION OF PHYSICIAN ASSISTANTS (NCCPA)",
"identifier": "1163429",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.