Individual provider Active NPI

Marco S Mazzella, MD

  • Cardiovascular Disease Physician
  • Grandview, MO
National Provider Identifier
1033162219
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2004017280 Issued in MO
Practice address
7201 E 147TH St
Grandview, MO 64030-4204
Phone
(816) 416-4900
Fax
(816) 416-4901
NPI assigned
May 18, 2006
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0428890 KS
Cardiovascular Disease Physician 207RC0000X 2004017280 MO Primary

Addresses

Primary practice location

7201 E 147TH St
Grandview, MO 64030-4204

Mailing address

3200 NE Ralph Powell Rd
Lees Summit, MO 64064-2301
Phone (816) 525-1600

Other practice location 1

3200 NE Ralph Powell Rd
Lees Summit, MO 64064-2301
Phone (816) 525-1600

Other identifiers 10

IdentifierTypeStateIssuer
431092652OtherTRICARE CHAMPUS
7563574OtherAETNA
1033162219MedicaidMO
7563574OtherBLUE SHIELD OF KC PPO
A030OtherAETNA PPO
P000149535OtherRAILROAD MEDICARE
P01128616OtherMORAILROAD MEDICARE
7563574OtherBLUE SHIELD OF KC HMO
34436012OtherAETNA HMO
P00853573OtherMOMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MARCO.MAZZELLA@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040924000677 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 7113996307 Reassigns benefits to 1 organization
I20190816001531 KS Practitioner - Cardiovascular Disease (Cardiology) 7113996307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Heart and Vascular Specialists LLCGroup PAC ID 7618122417, 81 clinicians

Practice addresses (Care Compare)

17065 S Outer Rd
Belton Regional Medical Center
Belton, MO 64012-2165
Phone (816) 348-1200

1980 SE Blue Pkwy
Suite 2320
Lees Summit, MO 64063-1102
Phone (816) 833-0381

2000 SE Blue Pkwy
Suite 250
Lees Summit, MO 64063-1029
Phone (913) 906-0833

2100 SE Blue Pkwy
Lees Summit Medical Center
Lees Summit, MO 64063-1007
Phone (816) 282-5000

2316 E Meyer Blvd
Research Medical Center
Kansas City, MO 64132-1136
Phone (913) 253-3000

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500

427 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 262-7766

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.12 of 100Reported as individual
Quality
74.67
Improvement activities
40
Cost
81.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0428890KSMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Heart & Vascular Specialists, LLC Cardiovascular Disease CurrentSince Jul 8, 2019 Accepting new patients

Locations

12200 W 106th St
Ste 315
Overland Park, KS 66215
Phone (913) 348-4202

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

6420 Prospect Ave
Ste T509
Kansas City, MO 64132
Phone (816) 276-4800

1980 SE Blue Pkwy
Ste 2320
Lees Summit, MO 64063
Phone (816) 607-2917

2000 SE Blue Pkwy
Ste 250
Lees Summit, MO 64063
Phone (816) 795-8200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP
  • IA HMO

Interoperability endpoints

  • Direct secure messaging: marco.mazzella@hca2.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1033162219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642301",
            "telephone_number": "816-525-1600",
            "fax_number": "816-525-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 E 147TH ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640304204",
            "telephone_number": "816-416-4900",
            "fax_number": "816-416-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 NE Ralph Powell Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640642301",
            "country_code": "US",
            "telephone_number": "816-525-1600",
            "fax_number": "816-525-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZELLA",
        "first_name": "MARCO",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0428890",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2004017280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CHAMPUS",
            "identifier": "431092652",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7563574",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033162219",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF KC PPO",
            "identifier": "7563574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "A030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P000149535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01128616",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF KC HMO",
            "identifier": "7563574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "34436012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00853573",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MARCO.MAZZELLA@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3200 NE Ralph Powell Rd",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640642301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grandview, MO

Sources for this page

Verify at the official NPI Registry.