ZACHARY BROWN NOVACZYK MD
NPI 1467034512
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Zachary Novaczyk's NPI number?

The NPI number for Zachary Novaczyk is 1467034512. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Q: What is Zachary Novaczyk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Novaczyk was last updated on June 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 27, 2021PECOS Enrolled

2450 RIVERSIDE AVE # R200, MINNEAPOLIS, MN 55454(612) 273-8043 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2024, May 24, 2021, May 12, 2021 and 1 more (4 updates tracked since 2021).

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About Zachary Brown Novaczyk Md NPPES

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

ZACHARY BROWN NOVACZYK MD (NPI 1467034512) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467034512

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameZACHARY BROWN NOVACZYKCredential: MD

Location Address2450 RIVERSIDE AVE # R200Minneapolis, MN 55454-1450

Mailing Address2450 Riverside Ave # R200Minneapolis, MN 55454-1450 · (612) 273-8043

Phone(612) 273-8043

Sole ProprietorNo

Enumeration DateApril 27, 2021

Last NPPES UpdateJune 5, 20244 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1467034512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2450 RIVERSIDE AVE # R200, Minneapolis, MN 55454

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Brown Novaczyk 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.

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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.

ANDREW FORREST ORMSETH MD

Student in an Organized Health Care Education/Training Program