MARK RYAN KAUTH MD
NPI 1568992014
Student in an Organized Health Care Education/Training Program in Indianapolis, IN
NPI Status: Active since June 18, 2017
Contact Information
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 278-2686
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About MARK KAUTH
This page provides the complete NPI Profile along with additional information for Mark Kauth, a primary care provider established in Indianapolis, Indiana with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1568992014 assigned on June 2017. The practitioner's primary taxonomy code is 390200000X with license number 11019544A (IN). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1568992014
- Provider Name
- MARK RYAN KAUTH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202
- Location Phone
- (317) 278-2686
- Mailing Address
- 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202
- Mailing Phone
- (317) 278-2686
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-18-2017
- Last Update Date
- 07-11-2025
- Code Navigator
A primary care provider (PCP) like Mark Kauth sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 1115 Ronald Reagan Pkwy
Avon, IN 46123
(317) 944-5330
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- 11019544A
- License State
- IN
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 01083793A (IN) |
2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 01083793A (IN) |
3 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | 01083793A (IN) |
Medicare Participation & PECOS Enrollment Status
Mark Kauth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MARK RYAN KAUTH MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 6 | 8 | 9 | 9 | 2 | 0 | 1 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 12 | 8 | 18 | 9 | 4 | 0 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 2 + 8 + 1 + 8 + 9 + 4 + 0 + 2 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1568992014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
LEANNE WOIEWODSKI
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
ELIE KOZAILY MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
DR. AHMED ELTARRAS
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
YARA KHALIFEH MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
JULIO RENATO BEAS NINO DE GUZMAN MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
MICHAEL SAM ROSENHECK
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
SAIISHITHA NALAMOLU DO
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
ISAAC LAMB
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
ADEDOYIN ESTHER JOHNSON
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
DR. PHALGUN CHANDRA NARLA DO
Psychiatry & Neurology
(Neurology)
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
AARON PHILIP CHUM
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
PHILLIP PHI PHAM MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
JARED MICHAEL STUART
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
RAECHEL ACKERMAN DO
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
DR. ASHLI BROOKE ELROD MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
AMY LYNN FRASER MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
LUIS NICHOLAS GARCIA MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
LENNON WALLACE GREGOR MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
SETARAH MOHAMMAD NADER MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
ELLEN LOUISE PETERSON MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN
ZIP 46202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568992014, enumerated as an "individual" on June 18, 2017.
The provider is located at 1120 W MICHIGAN ST # CL630 INDIANAPOLIS, IN 46202 and the phone number is (317) 278-2686.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.