Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark J Niederee, MD

Individual provider Surgery Physician · NPI 1063419844

Dr. Mark J Niederee, MD is a General Surgery in Wichita, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1997, 29 years ago. Practices with Wichita Surgical Specialists PA, a 58-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
29
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1515 S Clifton Ave Ste 250
Wichita, KS 67218-2952
Phone: (316) 686-1991
Fax: (316) 686-2309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0427729 (KS)

Record details

NPI number1063419844
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1997 (29 years in practice)
Group practice Wichita Surgical Specialists Pa — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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