MICHAEL R. MIZENKO D.O.
NPI 1063536712
Psychiatry & Neurology - Psychiatry in Denver, CO
About Michael R. Mizenko D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL R. MIZENKO D.O. (NPI 1063536712) is an individual psychiatry provider in Denver, Colorado, licensed in Colorado (DR.0054317) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael R. Mizenko D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DENVER, CO 80204
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 Michael Mizenko's NPI number?
The NPI number for Michael Mizenko is 1063536712. It was assigned to this individual provider in the NPPES registry on March 19, 2007.
Where is Michael Mizenko located?
Michael Mizenko practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (614) 738-6442.
What is Michael Mizenko's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Michael Mizenko enrolled in Medicare?
Yes. Michael Mizenko is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michael Mizenko was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Michael R. Mizenko, D.O. · NPI 1063536712
Psychiatry physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1063536712 (Entity type: Individual)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** DR.0054317 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 777 BANNOCK ST, Denver, CO 80204-4507
- **Phone:** (614) 738-6442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 11, 2021
- **Other identifiers:** Other 111357000 (OH); Medicaid 0635487 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1063536712) · Data from the CMS NPPES public registry.