Active NPI
Mark Matthew Scheurer, M.D.
- Otolaryngology Physician
- Coronado, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A106775
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223361 | Other | MEDICARE 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
Enrollment records 1
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 100
- Quality
- 36.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106775 | CA | MD | Otolaryngology Physician |
| 15237 | MS | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark M Scheurer MD PC | Otolaryngology | Current | Accepting new patients |
| McLemore Emergency Physicians | Past | 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.
-
- Otolaryngology Physician
- Coronado, CA
- NPI 1508385741
-
- Emergency Medicine Physician
- Meridian, MS
- NPI 1427007483
-
dba Riley Physician Services
- Cardiovascular Disease Physician
- Meridian, MS
- NPI 1578620746
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Coronado Hospital
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.