MRS. MIRA N SLIZOVSKY MD
NPI 1235195116
Pediatrics in West Lafayette, IN

Q: What is Mira Slizovsky's NPI number?

The NPI number for Mira Slizovsky is 1235195116. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Q: What is Mira Slizovsky's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mira Slizovsky was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since April 21, 2006PECOS Enrolled

915 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906(765) 463-5252(765) 463-2289 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Sep 5, 2024 (2 updates tracked since 2024).

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About Mrs. Mira N Slizovsky Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MIRA N SLIZOVSKY MD (NPI 1235195116) is an individual pediatrics provider in West Lafayette, Indiana, licensed in Indiana (01094049A) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Palmerton.

NPPES Registry Identity

NPI1235195116

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. MIRA N SLIZOVSKYCredential: MD

Location Address915 SAGAMORE PKWY WWest Lafayette, IN 47906-1443

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(765) 463-5252

Fax(765) 463-2289

Sole ProprietorYes

Enumeration DateApril 21, 2006

Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1235195116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IN · 01094049A✔ Licensed in PA · MD065630L

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

915 SAGAMORE PKWY W, West Lafayette, IN 47906

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Secondary Practice Location 1

Location 1217 Franklin AvePalmerton, PA 18071-1509 · Phone (610) 826-1166 · Fax (610) 824-5121

Other Identifiers 1

Medicaid0017085760001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mira N Slizovsky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

CASEY ROSE VASILAK ATC/L

Specialist/Technologist (Athletic Trainer)