KELLY MARSZALEK MD
NPI 1265846810
Family Medicine in Mishawaka, IN

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
611 E DOUGLAS RD STE 407, MISHAWAKA, IN 46545(574) 335-6500(574) 335-0772 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 25, 2023, Oct 12, 2020, Dec 31, 2019 and 3 more (6 updates tracked since 2018).

About Kelly Marszalek Md NPPES

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

KELLY MARSZALEK MD (NPI 1265846810) is an individual family medicine provider in Mishawaka, Indiana, licensed in Indiana (01078730A) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265846810
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY MARSZALEKCredential: MD
Location Address611 E DOUGLAS RD STE 407Mishawaka, IN 46545-1468
Mailing Address6021 Mission Trl Apt 4Granger, IN 46530-4021
Fax(574) 335-0772
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2014
Enumeration DateJune 11, 2014
Last NPPES UpdateMay 25, 20236 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1265846810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01078730A✔ Licensed in IN · 11017605A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
611 E DOUGLAS RD STE 407, Mishawaka, IN 46545

Secondary Practice Locations 2

Location 15215 Holy Cross PkwyMishawaka, IN 46545-1469 · Phone (574) 335-5000 · Fax (574) 335-4141
Location 2611 E Douglas Rd Ste 406Mishawaka, IN 46545-1468 · Phone (574) 335-6580 · Fax (574) 335-0818

Other Identifiers 1

Medicaid300005699IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Marszalek Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981829199
PECOS Enrollment IDI20170822000898
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.

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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.

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.

Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Pharmacist
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Pharmacist (Pharmacotherapy)
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545

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 Kelly Marszalek's NPI number?

The NPI number for Kelly Marszalek is 1265846810. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Kelly Marszalek located?

Kelly Marszalek practices at 611 E Douglas Rd Ste 407, Mishawaka, IN 46545. The listed phone number is (574) 335-6500.

What is Kelly Marszalek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Marszalek enrolled in Medicare?

Yes. Kelly Marszalek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Marszalek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kelly Marszalek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Marszalek affiliated with any hospitals?

According to CMS data, Kelly Marszalek is affiliated with St Mary Medical Center Inc and Northwest Health - Porter.

When was this NPI record last updated?

The NPPES record for Kelly Marszalek was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.