MARK LOREN KELDAHL MD NPI 1114181658

NPI Details

Mark Loren Keldahl, MD is a surgery in Chicago, IL with 22 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Mark Loren Keldahl, MD NPI is 1114181658. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2004

The provider's business location address is:

3000 N. HALSTED ST.
SUITE 703
CHICAGO, IL
ZIP 60657
Phone: (773) 296-3390
Fax: (773) 296-7531

The NPI 1114181658 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
• Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15271)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
• Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
• Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Spinal fusion (HCPCS:NAN02)
• Varicose vein removal (HCPCS:NAN08)
• Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 7/14/2008 and was last updated on 3/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: