Individual provider Active NPI

Mark S Austenfeld, MD

  • Specialist
  • Kansas City, MO
National Provider Identifier
1801846910
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1099600 Issued in MO
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100116020FMedicaidKS
056967OtherKSRURAL MEDICARE
202705927MedicaidMO
340016729OtherRR MEDICARE
15204098OtherMOBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603000787 KS Practitioner - Urology 2668438359 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-22588KSMDSpecialist
1099600MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.