MR. MARK A SUDIMAK CRNA
NPI 1174075196
Nurse Anesthetist, Certified Registered in Kent, OH
About Mr. Mark A Sudimak Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK A SUDIMAK CRNA (NPI 1174075196) is an individual nurse anesthetist, certified registered in Kent, Ohio, licensed in Ohio (019368) and active in the NPI registry since October 2016. He is affiliated with Summa Health System and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Mark A Sudimak Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Sudimak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, OH 45405
- Reassigned Medicare billing, Ohio enrollment
- 419 clinicians in this Medicare group
Batavia, OH 45103
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Southwest Ohio Anesthesia Consultants LLC
- 830 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Summa Health System
Acute Care Hospitals · Akron, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Sudimak's NPI number?
The NPI number for Mark Sudimak is 1174075196. It was assigned to this individual provider in the NPPES registry on October 25, 2016.
Where is Mark Sudimak located?
Mark Sudimak practices at 4591 Creekside Dr, Kent, OH 44240. The listed phone number is (330) 524-9937.
What is Mark Sudimak's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mark Sudimak enrolled in Medicare?
Yes. Mark Sudimak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mark Sudimak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Sudimak reassigns Medicare benefits to 2 organizations: Dayton Anesthesia & Pain Services, LLC (Dayton, OH) and Anesthesia & Intensive Care Consultants,inc. (Batavia, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Sudimak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Sudimak accept?
Health plans from CareSource list Mark Sudimak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mark Sudimak affiliated with any hospitals?
According to CMS data, Mark Sudimak is affiliated with Summa Health System.
When was this NPI record last updated?
The NPPES record for Mark Sudimak was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Mark A Sudimak, CRNA · NPI 1174075196
Nurse Anesthetist, Certified Registered physician in Kent, Ohio. Individual provider, active in the CMS NPPES registry since October 25, 2016.
## Identity
- **NPI:** 1174075196 (Entity type: Individual)
- **Enumerated:** October 25, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 019368 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4591 CREEKSIDE DR, Kent, OH 44240-7376
- **Phone:** (330) 524-9937
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dayton Anesthesia & Pain Services, LLC (NPI 1629401898, Dayton, OH); Anesthesia & Intensive Care Consultants,inc. (NPI 1164859013, Batavia, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174075196) · Data from the CMS NPPES public registry.