Individual provider Active NPI

Mark Schulke, MD

  • Family Medicine Physician
  • Surprise, AZ
National Provider Identifier
1922211341
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33860 Issued in AZ
Practice address
17014 W Bell Rd Ste 100
Surprise, AZ 85374-2479
Phone
(888) 405-6396
Fax
(415) 252-7176
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33860 AZ Primary

Addresses

Primary practice location

17014 W Bell Rd Ste 100
Surprise, AZ 85374-2479

Mailing address

17014 W Bell Rd Ste 100
Surprise, AZ 85374-2479
Phone (888) 405-6396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20201105000742 AZ Practitioner - Family Practice 1951576099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians

Practice addresses (Care Compare)

13940 W Meeker Blvd
Suite 101
Sun City West, AZ 85375-4495
Phone (888) 405-6396

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC CurrentSince Jan 13, 2025 Accepting new patients
Iora Senior Health, LLC CurrentSince Jan 13, 2025 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Kingfisher Family Medicine, PLLC Family Medicine CurrentSince Dec 10, 2023 Accepting new patients
Iora Senior Health, LLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients

Locations

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

14506 W Granite Valley Dr
Ste 123
Sun City West, AZ 85375
Phone (623) 250-2150

13940 W Meeker Blvd
Ste 101
Sun City West, AZ 85375
Phone (623) 377-9929

17014 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 249-7852

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

Organizations & group practices 7

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 1

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1922211341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17014 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742479",
            "telephone_number": "888-405-6396",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17014 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742479",
            "telephone_number": "888-405-6396",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULKE",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.