Individual provider Active NPI

Mark D. Laudenschlager, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Wichita, KS
National Provider Identifier
1801088984
Registry record updated Nov 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0439527 Issued in KS
Practice address
3600 E Harry St
Wichita, KS 67218-3713
Phone
(316) 268-5000
NPI assigned
Aug 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 53935 MN
Student in an Organized Health Care Education/Training Program 390200000X SD
Anatomic Pathology Physician 207ZP0101X 29787 OK
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME121097 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0439527 KS Primary

Addresses

Primary practice location

3600 E Harry St
Wichita, KS 67218-3713

Mailing address

PO Box 522
Wichita, KS 67201-0522
Phone (800) 288-8325

Other identifiers 1

IdentifierTypeStateIssuer
012930500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20161122000747 KS Practitioner - Pathology 7517135072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Sanford School of Medicine of University of South Dakota, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcentral Pathology Laboratory, PAGroup PAC ID 5799759122, 10 clinicians

Practice addresses (Care Compare)

3600 E Harry
Wichita, KS 67201-3713
Phone (316) 268-5426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.23 of 100Reported as group
Quality
82.45
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29787OKMDAnatomic Pathology Physician
0439527KSMDAnatomic Pathology & Clinical Pathology Physician
53935MNMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Pathology Laboratory, PA Anatomic Pathology & Clinical Pathology CurrentSince Oct 22, 2016 Accepting new patients

Locations

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

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 4

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": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1801088984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672010522",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183713",
            "telephone_number": "316-268-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDENSCHLAGER",
        "first_name": "MARK",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MN",
            "license": "53935",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SD",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "OK",
            "license": "29787",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME121097",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "0439527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012930500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.