Individual provider Active NPI

Mark Allen Schroer, M.D.

  • Internal Medicine Physician
  • Newport, KY
National Provider Identifier
1902864416
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30674 Issued in KY
Practice address
17 East Sixth Street
Newport, KY 41071-1803
Phone
(859) 431-8285
Fax
(859) 431-8286
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-064929 OH
Internal Medicine Physician 207R00000X 30674 KY Primary

Addresses

Primary practice location

17 East Sixth Street
Newport, KY 41071-1803

Mailing address

17 East Sixth Street
Newport, KY 41071-1803
Phone (859) 431-8285

Other identifiers 4

IdentifierTypeStateIssuer
00543001OtherKYMEDICARE PTAN
200449980MedicaidIN
0204559MedicaidOH
64306749MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080201000118 KY Practitioner - Internal Medicine 3476448515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 E 6TH St
Newport, KY 41071-1803
Phone (859) 431-8285

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30674KYMDInternal Medicine Physician
35-064929OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Schroer MD PLLC Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
University Internal Medicine Associates, Inc. Internal Medicine Past Accepting new patients
Major Hospital Past Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients

Locations

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

17 E 6th St
Newport, KY 41071
Phone (859) 431-8285

2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981

5053 Wooster Rd
Cincinnati, OH 45226
Phone (513) 751-2145

3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8114/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.schroer.1@8114.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1902864416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EAST SIXTH STREET",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410711803",
            "telephone_number": "859-431-8285",
            "fax_number": "859-431-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EAST SIXTH STREET",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410711803",
            "telephone_number": "859-431-8285",
            "fax_number": "859-431-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROER",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-064929",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "30674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00543001",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200449980",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204559",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64306749",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, KY

Sources for this page

Verify at the official NPI Registry.