Active NPI
Marco S Mazzella, MD
- Cardiovascular Disease Physician
- Grandview, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2004017280
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431092652 | Other | TRICARE CHAMPUS | |
| 7563574 | Other | AETNA | |
| 1033162219 | Medicaid | MO | |
| 7563574 | Other | BLUE SHIELD OF KC PPO | |
| A030 | Other | AETNA PPO | |
| P000149535 | Other | RAILROAD MEDICARE | |
| P01128616 | Other | MO | RAILROAD MEDICARE |
| 7563574 | Other | BLUE SHIELD OF KC HMO | |
| 34436012 | Other | AETNA HMO | |
| P00853573 | Other | MO | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MARCO.MAZZELLA@hca2.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Missouri, Kansas City, School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Lee's Summit Medical Center
- Belton Regional Medical Center
- Western Missouri Medical Center
- Centerpoint Medical Center
- Bothwell Regional Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.12 of 100
- Quality
- 74.67
- Improvement activities
- 40
- Cost
- 81.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0428890 | KS | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Heart & Vascular Specialists, LLC | Cardiovascular Disease | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Overland Park, KS
- NPI 1760736615
MO
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
dba Cole Camp Clinic
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
Hospital
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
dba Lee's Summit Medical Center
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1225085871
-
dba Belton Regional Medical Center
- General Acute Care Hospital
- Belton, MO
- NPI 1063470763
-
- General Acute Care Hospital
- Warrensburg, MO
- NPI 1083601330
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.