Matthew Jacob Kaczmarski, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME103293 Issued in FL

Practice address

8900 N Kendall Dr
Miami, FL 33176

Phone

(786) 596-1960

NPI assigned

Mar 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. M. Jacob Kaczmarski Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

Anesthesiology

Education

Indiana University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS. Ellis, Rojas, Ross and Debs, Inc.Group PAC ID 4587563408, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• DRS. Ellis, Rojas, Ross & Debs, Inc.

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1255313169
  Medicare reassignment Care Compare group NPD
• DRS. Ellis, Rojas, Ross & Debs, Inc.

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1770257982
  NPD

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

• Baptist Hospital of Miami Inc

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1528042884
  Care Compare affiliation

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1396916532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6875 SW 69TH TER",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433136",
            "telephone_number": "317-514-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "786-596-1960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Deaconess Rd Ste 470",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155321",
            "country_code": "US",
            "telephone_number": "317-514-4881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACZMARSKI",
        "first_name": "MATTHEW",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-16",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME103293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M. JACOB",
            "last_name": "KACZMARSKI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Sabena Kachwalla, AA
• Yoav Kadan
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• Robert Kaderka, PHD
• Kadira Hernandez, O.D., PLLC

• Anesthesiology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.