MARK WALTER KACZOR MD
NPI 1497319065
Pediatrics - Neonatal-Perinatal Medicine in Rochester, MN

Q: What is Mark Kaczor's NPI number?

The NPI number for Mark Kaczor is 1497319065. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Q: What is Mark Kaczor's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Kaczor was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 29, 2019PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-0702 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Jul 1, 2025, Jun 12, 2025 and 4 more (7 updates tracked since 2019).

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About Mark Walter Kaczor Md NPPES

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

MARK WALTER KACZOR MD (NPI 1497319065) is an individual neonatal-perinatal medicine provider in Rochester, Minnesota, licensed in Minnesota (67759) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497319065

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameMARK WALTER KACZORCredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511

Phone(507) 284-0702

Sole ProprietorNo

Enumeration DateApril 29, 2019

Last NPPES UpdateAugust 11, 20257 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1497319065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MN · 67759

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 30258 (MN), 13525-320 (WI), 67759 (MN)

200 1ST ST SW, Rochester, MN 55905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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)

Mark Walter Kaczor 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.

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.

EMILY LEASURE MD

Internal Medicine