Active NPI
Mark S Austenfeld, MD
- Specialist
- Kansas City, MO
National Provider Identifier
1801846910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1099600
- Practice address
- 4321 Washington St
Suite 5300
Kansas City, MO 64111-5961 - Phone
- (816) 531-1234
- Fax
- (816) 531-0737
- NPI assigned
- May 11, 2006
- Last updated
- Jan 15, 2021
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 04-22588 | KS | |
| Specialist | 174400000X | 1099600 | MO | Primary |
Addresses
Primary practice location
4321 Washington St
Suite 5300
Kansas City, MO 64111-5961
Mailing address
8551 Bluejacket St
Suite 100
Lenexa, KS 66214-1656
Phone (913) 341-7985
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100116020F | Medicaid | KS | |
| 056967 | Other | KS | RURAL MEDICARE |
| 202705927 | Medicaid | MO | |
| 340016729 | Other | RR MEDICARE | |
| 15204098 | Other | MO | BCBS KC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-22588 | KS | MD | Specialist |
| 1099600 | MO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Saint Lukes of Garnett Inc | Past | Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Past | Accepting new patients |
Locations
1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
- mark.austenfeld@newmanrhdirect.org
Organizations & group practices 4
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.
-
dba Newman Regional Health
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
-
- Urology Physician
- Overland Park, KS
- NPI 1528024676
-
dba Anderson County Hospital
- Critical Access Hospital
- Garnett, KS
- NPI 1316911878
-
dba Anderson County Hospital
- Nursing Facility/Intermediate Care Facility
- Garnett, KS
- NPI 1003841230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1801846910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8551 BLUEJACKET ST",
"address_2": "SUITE 100",
"city": "LENEXA",
"state": "KS",
"postal_code": "662141656",
"telephone_number": "913-341-7985",
"fax_number": "913-341-7985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 WASHINGTON ST",
"address_2": "SUITE 5300",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115961",
"telephone_number": "816-531-1234",
"fax_number": "816-531-0737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTENFELD",
"first_name": "MARK",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "04-22588",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "1099600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100116020F",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RURAL MEDICARE",
"identifier": "056967",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202705927",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "340016729",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "15204098",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.