MARK SUNDAHL MD
NPI 1194189555
Psychiatry & Neurology - Psychiatry in Kansas City, MO

Q: What is Mark Sundahl's NPI number?

The NPI number for Mark Sundahl is 1194189555. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Q: What is Mark Sundahl's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Mark Sundahl was last updated on September 30, 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.

Active since April 11, 2016PECOS Enrolled

4801 E LINWOOD BLVD, KANSAS CITY, MO 64128(816) 861-4700 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2022, Oct 15, 2020, Jul 6, 2020 and 1 more (4 updates tracked since 2020).

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About Mark Sundahl Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK SUNDAHL MD (NPI 1194189555) is an individual psychiatry provider in Kansas City, Missouri, licensed in Missouri (2020030908) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2016).

NPPES Registry Identity

NPI1194189555

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMARK SUNDAHLCredential: MD

Location Address4801 E LINWOOD BLVDKansas City, MO 64128-2226

Mailing Address14044 W 113th StOlathe, KS 66215-4833 · (913) 424-4608

Phone(816) 861-4700

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2016

Enumeration DateApril 11, 2016

Last NPPES UpdateSeptember 30, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2022

✔ NPI 1194189555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MO · 2020030908✔ Licensed in KS · 04-43540

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4801 E LINWOOD BLVD, Kansas City, MO 64128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Sundahl Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608163472

PECOS Enrollment IDI20251217004312

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Mark Sundahl reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mccd Fl Psychiatry Services PA

947 mi

Psychiatry

1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207

Reassigned Medicare billing, Missouri enrollment
28 clinicians in this Medicare group

NPI 1659003457 (833) 351-8255

Mccd Psychiatry Services PLLC

1,095 mi

Psychiatry

109 W 27TH ST # 5S
New York, NY 10001

Reassigned Medicare billing, New York enrollment
590 clinicians in this Medicare group

NPI 1033750823 (917) 634-5311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.52 typical visit price

range $55.29 – $168.52

Typical copayment $42.13 (range $13.82 – $42.13)

Most-billed visit code 99205

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD ANTHONY ANTUNES JR. PHARMD

Pharmacist