Martin M Mrozek, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

00282 Issued in WV

Practice address

27 Parsons Lane
Fayetteville, WV 25840-0957

Phone

(304) 574-2310

Fax

(304) 574-2311

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Clinic of the Virginias IncGroup PAC ID 7911948583, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Camc Plateau Medical Center, Inc Hospital, Oak Hill, WV, CCN 511317

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmrozek@usfas.emadirect.md

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.

• Foot and Ankle Clinic of the Virginias Inc

  • Podiatrist
  • Princeton, WV
  • NPI 1740227909

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• Foot and Ankle Clinic of the Virginias Inc

  • Podiatrist
  • Fayetteville, WV
  • NPI 1093678922
  NPD

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

• Camc Plateau Medical Center, Inc.

  • Critical Access Hospital
  • Oak Hill, WV
  • NPI 1285340877
  Care Compare affiliation

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1437119856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258400957",
            "telephone_number": "304-574-2310",
            "fax_number": "304-574-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARSONS LANE",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258400957",
            "telephone_number": "304-574-2310",
            "fax_number": "304-574-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZEK",
        "first_name": "MARTIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WV",
            "license": "00282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099788000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE PPO",
            "identifier": "353171",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA",
            "identifier": "223203",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00252983",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BC BS",
            "identifier": "001721891",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4281890001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Middleton, RN
• Jon Miraglia
• Martina Moore
• Catherine Marie Moorehead, CDMS, CMC, QRP
• Eric Matthew Morris, PHARMD
• Chassity Murphy-Young, MSW, LGSW
• Carrie Murrell, PA-C
• Travis Myers
• Nancy Carol Myles
• Jeanne Nagye

• Primary Podiatric Medicine Podiatrist in Fayetteville, WV
• Providers in Fayetteville, WV by specialty
• Primary Podiatric Medicine Podiatrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.