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MIROSLAW A MAZURCZAK M.D.
NPI 1437155140
Internal Medicine - Hematology & Oncology in Sioux Falls, SD

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
1309 W 17TH ST, STE 101, SIOUX FALLS, SD 57104(605) 328-8000(605) 328-8001 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miroslaw A Mazurczak M.d. NPPES

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

MIROSLAW A MAZURCZAK M.D. (NPI 1437155140) is an individual hematology & oncology provider in Sioux Falls, South Dakota, licensed in South Dakota (4451) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sanford Sheldon Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1437155140
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMIROSLAW A MAZURCZAKCredential: M.D.
Location Address1309 W 17TH ST, STE 101Sioux Falls, SD 57104-8805
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9556 · Fax (605) 328-9501
Phone(605) 328-8000
Fax(605) 328-8001
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 27, 2005
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1437155140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in SD · 4451
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1309 W 17TH ST, Sioux Falls, SD 57104
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Other Identifiers 1

Medicaid6003705SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Miroslaw A Mazurczak M.d. 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 ID8921029554
PECOS Enrollment IDI20051212000365, I20150508000409
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
398 services230 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
77 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161381
Location118 North 7th AvenueSheldon, IA 51201 · Obrien County
Emergency services

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Sanford Canby Medical Center

Critical Access Hospitals · Canby, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241347
Location112 St Olaf Avenue SouthCanby, MN 56220 · Yellow Medcine County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$167.23 typical visit price
range $55.52 – $167.23
Typical copayment $41.80 (range $13.88 – $41.80)
Most-billed visit code 99205
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

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.

CHELSEY ZONDERVAN CNP
Nurse Practitioner (Family)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
KIMBERLY CAYE NIEMANN CNP
Nurse Practitioner
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
KRISTEN K MAUGHAN MS,RDN,LDN
Dietitian, Registered
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
MICHELE M LOHR M.D.
Radiology (Radiation Oncology)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-6001
RYAN K NOWAK MD
Radiology (Radiation Oncology)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-6001
LARISSA L RISTY CGC
Genetic Counselor, MS
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-4641
SUSAN J HALBRITTER CNP
Nurse Practitioner
1309 W 17TH ST, STE 101
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
ASHLEY KAY HEUPEL CNP
Nurse Practitioner (Acute Care)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000

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 Miroslaw Mazurczak's NPI number?

The NPI number for Miroslaw Mazurczak is 1437155140. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Miroslaw Mazurczak located?

Miroslaw Mazurczak practices at 1309 W 17th St Ste 101, Sioux Falls, SD 57104. The listed phone number is (605) 328-8000.

What is Miroslaw Mazurczak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Miroslaw Mazurczak enrolled in Medicare?

Yes. Miroslaw Mazurczak 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 Miroslaw Mazurczak accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Miroslaw Mazurczak 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 Miroslaw Mazurczak affiliated with any hospitals?

According to CMS data, Miroslaw Mazurczak is affiliated with Sanford Sheldon Medical Center, Sanford Worthington Medical Center, Sanford Canby Medical Center, Sanford Usd Medical Center and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Miroslaw Mazurczak was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.