Individual provider Active NPI

Mark Allen Neubauer, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1922085125
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
601693 Issued in TX
Practice address
13601 Preston Rd
Suite 1000W
Dallas, TX 75240-4911
Phone
(972) 715-5000
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 601693 TX Primary

Addresses

Primary practice location

13601 Preston Rd
Suite 1000W
Dallas, TX 75240-4911

Mailing address

PO Box 650426
Dallas, TX 75265-0426
Phone (972) 715-5007

Other identifiers 5

IdentifierTypeStateIssuer
158250407MedicaidTX
P01002879OtherTXRAILROAD MEDICARE 00607K
85449UOtherTXBCBS
P00739596OtherTXRR MEDICARE
158250405MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WV, CA, WA, TN, MD, CT, DC8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20050407000914 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052368370 Reassigns benefits to 4 organizations
I20161121000296 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052368370 Reassigns benefits to 1 organization
I20190208001375 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052368370 Reassigns benefits to 3 organizations
I20190322002176 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052368370 Reassigns benefits to 1 organization
I20240212001534 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052368370 Reassigns benefits to 1 organization
I20241226000677 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052368370 Reassigns benefits to 1 organization
I20250328001545 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052368370 Reassigns benefits to 1 organization
I20250911004931 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052368370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Resource Anesthesiology Associates of CT PCGroup PAC ID 7517991052, 28 clinicians

Practice addresses (Care Compare)

1717 Hwy 59 Loop N
St Lukes Health Memorial Livingston
Livingston, TX 77351-5710
Phone (936) 329-8700

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6666

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

Hospital & facility affiliations

  • CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395
  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
14235CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services of San Joaquin, P.C. CurrentSince Jun 26, 2019 Accepting new patients
Anesthesia Associates of El Paso PA CurrentSince Jan 15, 2018 Accepting new patients
Providence Wa Anesthesia Services, P.C. CurrentSince Feb 8, 2019 Accepting new patients
Resource Anesthesiology Associates of TN PC Nurse Anesthetist, Certified Registered CurrentSince Feb 9, 2024 Accepting new patients
Anesthesia Assoc of Maryland CurrentSince Dec 1, 2024 Accepting new patients
Palm Springs Anesthesia Services, PC CurrentSince Mar 11, 2019 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jun 23, 2012 Accepting new patients
Northstar Anesthesia of West Virginia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 12, 2016 Accepting new patients
Resource Anesthesiology Associates of CT PC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince May 6, 2025 Accepting new patients
Anesthesia Associates of Southern California PC CurrentSince Dec 1, 2025 Accepting new patients
Sundance Anesthesia PA Past Accepting new patients
Southwest Fort Worth Anesthesiology Consultants, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Alliance Anesthesia Associates, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Apex Anesthesia Consultants, PLLC Past Accepting new patients

Locations (25 of 39)

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

415 E Harding Way
Ste E
Stockton, CA 95204
Phone (209) 337-4935

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

539 Danbury Rd
Wilton, CT 06897
Phone (203) 834-7700

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

6196 Oxon Hill Rd
Oxon Hill, MD 20745
Phone (301) 567-2900

101 Milford St
Salisbury, MD 21804
Phone (410) 749-9290

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

7101 S Padre Island Dr
#D
Corpus Christi, TX 78412
Phone (361) 761-1400

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1922085125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650426",
            "telephone_number": "972-715-5007",
            "fax_number": "972-715-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 PRESTON RD",
            "address_2": "SUITE 1000W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404911",
            "telephone_number": "972-715-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBAUER",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "601693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158250407",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE 00607K",
            "identifier": "P01002879",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85449U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00739596",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158250405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.