Benjamin Barry Mazal, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C1-0009472 Issued in DE

Practice address

1771 Commercial St
Warsaw, MO 65355-3096

Phone

(660) 438-5193

Fax

(660) 438-2615

NPI assigned

Sep 1, 2010

Last updated

Apr 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fep of Kentucky LLCGroup PAC ID 8123473626, 21 clinicians

Yalinie Medics LLCGroup PAC ID 5991938557, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pineville Community Health Center, Inc Hospital, Pineville, KY, CCN 180154
• Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fep of Kentucky LLC

  • Emergency Medicine Physician
  • Hopkinsville, KY
  • NPI 1770266553
  Medicare reassignment Care Compare group NPD
• Yalinie Medics LLC

  • General Practice Physician
  • Pineville, KY
  • NPI 1992964944
  Medicare reassignment Care Compare group
• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385
  Medicare reassignment NPD
• Pine Mountain Emergency Group Limited Liability Company

  • Emergency Medicine Physician
  • Harlan, KY
  • NPI 1568010064
  Medicare reassignment NPD
• Southern Medical Partners, LLC

  • Emergency Medicine Physician
  • Hazard, KY
  • NPI 1538109962
  Medicare reassignment NPD
• Williamson Emergency Physicians LLC

  • Emergency Medicine Physician
  • South Williamson, KY
  • NPI 1740492644
  Medicare reassignment NPD

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

• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312
  Care Compare affiliation
• Pineville Community Health Center Inc

  • General Acute Care Hospital
  • Pineville, KY
  • NPI 1285292219
  Care Compare affiliation

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1144537804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 COMMERCIAL ST",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653553096",
            "telephone_number": "660-438-5193",
            "fax_number": "660-438-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 COMMERCIAL ST",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653553096",
            "telephone_number": "660-438-5193",
            "fax_number": "660-438-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZAL",
        "first_name": "BENJAMIN",
        "middle_name": "BARRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-01",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "47805",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0009472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Loehr, PHARMD
• Franz Erich Lopez Gonzalez, M.D.
• Michael Machnicki, LCSW
• Angela Marti Jedinak, MSW, LCSW
• Madison Raeann Mays, M.S., CCC-SLP
• Britney Marie McDonald, APRN
• Bruce Lee Miller, LCSW
• Erik Michael Miller, D.O.
• Sydney Miller, MCD CFY SLP
• Debra Mitchell

• Family Medicine Physician in Warsaw, MO
• Providers in Warsaw, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.

Verify at the official NPI Registry.