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MARK STASIEWICZ M.D.
NPI 1760231658
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since May 14, 2024PECOS Enrolled
1701 W. CHARLESTON BLVD, KATINA SHEHIE, SUITE 230, LAS VEGAS, NV 89102(702) 676-3650 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2024, May 14, 2024 (2 updates tracked since 2024).

About Mark Stasiewicz M.d. NPPES

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

MARK STASIEWICZ M.D. (NPI 1760231658) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760231658
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARK STASIEWICZCredential: M.D.
Location Address1701 W. CHARLESTON BLVD, KATINA SHEHIE, SUITE 230Las Vegas, NV 89102
Mailing Address1701 W. Charleston Blvd, Katina Shehie, Suite 230Las Vegas, NV 89102 · (702) 676-3650
Phone(702) 676-3650
Sole ProprietorNo
Enumeration DateMay 14, 2024
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
✔ NPI 1760231658 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.
1701 W. CHARLESTON BLVD, Las Vegas, NV 89102
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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)

Mark Stasiewicz M.d. 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLAS ALONSO BARNECHEA ALVARADO M.D.
Student in an Organized Health Care Education/Training Program
1701 W. CHARLESTON BLVD, STE 230
LAS VEGAS, NV 89102
Clark County (702) 676-3650

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 Mark Stasiewicz's NPI number?

The NPI number for Mark Stasiewicz is 1760231658. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Mark Stasiewicz located?

Mark Stasiewicz practices at 1701 W. Charleston Blvd Katina Shehie, Suite 230, Las Vegas, NV 89102. The listed phone number is (702) 676-3650.

What is Mark Stasiewicz's specialty?

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

Is Mark Stasiewicz enrolled in Medicare?

Yes. Mark Stasiewicz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Stasiewicz was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.