IVAN J. NOSACEK DPM
NPI 1992807770
Podiatrist in Bowie, MD
About Ivan J. Nosacek Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVAN J. NOSACEK DPM (NPI 1992807770) is a healthcare organization registered as a podiatrist in Bowie, Maryland and active in the NPI registry since September 2006. The organization lists Ivan John Nosacek, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivan J. Nosacek Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ivan J. Nosacek DPM, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dr Ivan J Nosacek PA's NPI number?
The NPI number for Dr Ivan J Nosacek PA is 1992807770. It was assigned to this organization in the NPPES registry on September 2, 2006. The provider is doing business as Ivan J. Nosacek Dpm.
Where is Dr Ivan J Nosacek PA located?
Dr Ivan J Nosacek PA is located at 3006 Mitchellville Rd, Bowie, MD 20716. The listed phone number is (301) 390-3338.
What is Dr Ivan J Nosacek PA's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Dr Ivan J Nosacek PA enrolled in Medicare?
Yes. Dr Ivan J Nosacek PA is registered in the Medicare PECOS enrollment system.
When is Dr Ivan J Nosacek PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dr Ivan J Nosacek PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Dr Ivan J Nosacek PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dr Ivan J Nosacek PA was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ivan J. Nosacek Dpm · NPI 1992807770
Podiatrist organization in Bowie, Maryland. Organization record, active in the CMS NPPES registry since September 2, 2006.
## Identity
- **NPI:** 1992807770 (Entity type: Organization)
- **Enumerated:** September 2, 2006
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Legal business name:** Dr Ivan J Nosacek Pa
- **Organization subpart:** No
- **Authorized official:** Ivan Nosacek, PRESIDENT
## Practice location
- **Address:** 3006 MITCHELLVILLE RD, Bowie, MD 20716-1300
- **Phone:** (301) 390-3338 · **Fax:** (301) 390-7738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, District of Columbia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2008
- **Other identifiers:** Medicaid 066038800 (MD); Medicare PIN 538663 (DC); Medicare PIN 666R (MD); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1992807770) · Data from the CMS NPPES public registry.