MARISA ANN SOBCZAK MD
NPI 1417717554
Student in an Organized Health Care Education/Training Program in Aurora, CO
About Marisa Ann Sobczak Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISA ANN SOBCZAK MD (NPI 1417717554) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marisa Ann Sobczak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
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 Marisa Sobczak's NPI number?
The NPI number for Marisa Sobczak is 1417717554. It was assigned to this individual provider in the NPPES registry on March 19, 2024.
Where is Marisa Sobczak located?
Marisa Sobczak practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 724-1784.
What is Marisa Sobczak's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Marisa Sobczak enrolled in Medicare?
Yes. Marisa Sobczak is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Marisa Sobczak was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Marisa Ann Sobczak, MD · NPI 1417717554
Student in an Organized Health Care Education/Training Program provider in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since March 19, 2024.
## Identity
- **NPI:** 1417717554 (Entity type: Individual)
- **Enumerated:** March 19, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12631 E 17TH AVE, Aurora, CO 80045-2527
- **Phone:** (303) 724-1784
## 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 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417717554) · Data from the CMS NPPES public registry.