Individual provider Active NPI

Mark Matthew Scheurer, M.D.

  • Otolaryngology Physician
  • Coronado, CA
National Provider Identifier
1942250089
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A106775 Issued in CA
Practice address
1222 1St St Ste 3
Coronado, CA 92118-1491
Phone
(619) 787-7406
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 15237 MS
Otolaryngology Physician 207Y00000X A106775 CA Primary

Addresses

Primary practice location

1222 1St St Ste 3
Coronado, CA 92118-1491

Mailing address

1222 1St St
Coronado, CA 92118-1491
Phone (619) 787-7406

Other practice location 1

801 Orange Ave
Suite 205
Coronado, CA 92118-2663
Phone (619) 787-7406

Other identifiers 1

IdentifierTypeStateIssuer
223361OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20141209000821 CA Practitioner - Otolaryngology 0547582249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1222 1St St
Suite 3
Coronado, CA 92118-1491
Phone (619) 787-7406

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.33 of 100Reported as individual
Quality
36.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106775CAMDOtolaryngology Physician
15237MSMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark M Scheurer MD PC Otolaryngology CurrentSince Feb 2, 2017 Accepting new patients
McLemore Emergency Physicians PastSince Dec 18, 2007 Accepting new patients
Meridian Hma LLC Past Accepting new patients

Locations

1222 1st St
Ste 3
Coronado, CA 92118
Phone (520) 722-5477

1222 1st St
Coronado, CA 92118
Phone (619) 437-1791

Organizations & group practices 3

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.

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942250089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 1ST ST",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181491",
            "telephone_number": "619-787-7406",
            "fax_number": "619-359-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 1ST ST STE 3",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181491",
            "telephone_number": "619-787-7406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Orange Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921182663",
            "country_code": "US",
            "telephone_number": "619-787-7406",
            "fax_number": "619-359-8762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEURER",
        "first_name": "MARK",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "15237",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A106775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "223361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

Verify at the official NPI Registry.