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MARK MEZAK
NPI 1861949711
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since September 08, 2016PECOS Enrolled
2712 TELEGRAPH AVE, BERKELEY, CA 94705(510) 548-8283 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Mezak NPPES

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

MARK MEZAK (NPI 1861949711) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861949711
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARK MEZAK
Location Address2712 TELEGRAPH AVEBerkeley, CA 94705-1117
Mailing Address691 Castro StSan Francisco, CA 94114-2556
Phone(510) 548-8283
Sole ProprietorYes
Enumeration DateSeptember 8, 2016
Last NPPES UpdateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1861949711 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.
2712 TELEGRAPH AVE, Berkeley, CA 94705
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Mezak 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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Mezak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
7.7 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. KATHLEEN HELEN HALEY
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 558-8283
AMY TOIG MS
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 548-8283
JULIE SUCH
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 548-8283
IRINA D. OROS
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 548-8283
MARY SCHULER
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 548-8283
SUZANNE SHERMAN MFT-INTERN
Counselor (Mental Health)
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 548-8283
STEPHANIE NICHELLE WHITE
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 548-8283
MR. DANIEL BAUMAN
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 548-8283

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 Mezak's NPI number?

The NPI number for Mark Mezak is 1861949711. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Mark Mezak located?

Mark Mezak practices at 2712 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (510) 548-8283.

What is Mark Mezak'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 Mezak enrolled in Medicare?

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

Which organization bills Medicare for Mark Mezak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mezak reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Mezak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Mezak was last updated on February 4, 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.