Mark Ryan Kauth, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Indianapolis, Indiana. His current practice location is
1120 W Michigan St # Cl630, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 278-2686.
Mark Ryan Kauth is licensed to practice in Indiana (license number 11019544A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568992014.
Physician's Profile
Full Name | Mark Ryan Kauth |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1120 W Michigan St # Cl630, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568992014
- Provider Enumeration Date: 06/18/2017
- Last Update Date: 07/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395015440
- Enrollment ID: I20170721001627
Medical Identifiers
Medical identifiers for Mark Ryan Kauth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568992014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 01083793A (Indiana) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 01083793A (Indiana) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 01083793A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 11019544A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Ryan Kauth is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mark Ryan Kauth, MD 1120 W Michigan St # Cl630, Indianapolis, IN 46202-5209 Ph: (317) 278-2686 | Mark Ryan Kauth, MD 1120 W Michigan St # Cl630, Indianapolis, IN 46202-5209 Ph: (317) 278-2686 |
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