MAZEN N NEMEH MD
NPI 1528084167
Internal Medicine - Nephrology in Rapid City, SD

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
640 FLORMANN ST, RAPID CITY, SD 57701(605) 718-3300(605) 718-3426 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mazen N Nemeh Md NPPES

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

MAZEN N NEMEH MD (NPI 1528084167) is an individual nephrology provider in Rapid City, South Dakota, licensed in South Dakota (4077) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1528084167
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMAZEN N NEMEHCredential: MD
Location Address640 FLORMANN STRapid City, SD 57701-4679
Mailing Address353 Fairmont Blvd, Atten Medical Staff ServicesRapid City, SD 57701-6000
Fax(605) 718-3426
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 24, 2013
NPI 1528084167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in SD · 4077
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
640 FLORMANN ST, Rapid City, SD 57701

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

Mazen N Nemeh 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 ID5597743815
PECOS Enrollment IDI20040712001331
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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
158 services25 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
144 services28 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.
105 services75 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
81 services17 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.
70 services20 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.
61 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Weston County Health Services

Critical Access Hospitals · Newcastle, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531303
Location1124 Washington BoulevardNewcastle, WY 82701 · Weston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
640 FLORMANN ST
RAPID CITY, SD 57701
Family Medicine
640 FLORMANN ST
RAPID CITY, SD 57701
Internal Medicine
640 FLORMANN ST
RAPID CITY, SD 57701
640 FLORMANN ST
RAPID CITY, SD 57701
Physician Assistant
640 FLORMANN ST
RAPID CITY, SD 57701
Nurse Practitioner
640 FLORMANN ST
RAPID CITY, SD 57701
Family Medicine
640 FLORMANN ST
RAPID CITY, SD 57701
Internal Medicine (Endocrinology, Diabetes & Metabolism)
640 FLORMANN ST
RAPID CITY, SD 57701

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 Mazen Nemeh's NPI number?

The NPI number for Mazen Nemeh is 1528084167. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Mazen Nemeh located?

Mazen Nemeh practices at 640 Flormann St, Rapid City, SD 57701. The listed phone number is (605) 718-3300.

What is Mazen Nemeh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mazen Nemeh enrolled in Medicare?

Yes. Mazen Nemeh 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 Mazen Nemeh accept?

Health plans from Medica, Oscar Insurance Company and Sanford Health Plan list Mazen Nemeh 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 Mazen Nemeh affiliated with any hospitals?

According to CMS data, Mazen Nemeh is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Sturgis Hospital and Weston County Health Services.

When was this NPI record last updated?

The NPPES record for Mazen Nemeh was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.