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MARK LIDASAN
NPI 1396385662
Nurse Practitioner - Psychiatric/Mental Health in Missouri City, TX

Active since January 14, 2020PECOS Enrolled
7070 KNIGHTS CT STE 1701, MISSOURI CITY, TX 77459(346) 595-3735(832) 281-1383 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2025, Feb 10, 2020, Feb 4, 2020 and 1 more (4 updates tracked since 2020).

About Mark Lidasan NPPES

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

MARK LIDASAN (NPI 1396385662) is an individual psychiatric/mental health provider in Missouri City, Texas, licensed in Texas (144499) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396385662
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMARK LIDASAN
Location Address7070 KNIGHTS CT STE 1701Missouri City, TX 77459-5551
Mailing Address7070 Knights Ct Ste 1701Missouri City, TX 77459-5551 · (983) 293-3173 · Fax (832) 281-1383
Phone(346) 595-3735
Fax(832) 281-1383
Sole ProprietorYes
Enumeration DateJanuary 14, 2020
Last NPPES UpdateApril 3, 20254 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1396385662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 144499
7070 KNIGHTS CT STE 1701, Missouri City, TX 77459
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77459 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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

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

CONVERGENCE PSYCHIATRY PLLC
Clinic/Center
7070 KNIGHTS CT STE 1701
MISSOURI CITY, TX 77459
Fort Bend County (346) 595-3735

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 Lidasan's NPI number?

The NPI number for Mark Lidasan is 1396385662. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Where is Mark Lidasan located?

Mark Lidasan practices at 7070 Knights Ct Ste 1701, Missouri City, TX 77459. The listed phone number is (346) 595-3735.

What is Mark Lidasan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mark Lidasan enrolled in Medicare?

Yes. Mark Lidasan is registered in the Medicare PECOS enrollment system.

What insurance does Mark Lidasan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Mark Lidasan 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.

When was this NPI record last updated?

The NPPES record for Mark Lidasan was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.