Individual provider Active NPI

Morgan Mazakas Penzler

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1457988586
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
260850 Issued in NC
Practice address
1000 Blythe Blvd Ste 600
Charlotte, NC 28203-5812
Phone
(704) 355-3181
NPI assigned
Mar 26, 2020
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 260850 NC Primary

Addresses

Primary practice location

1000 Blythe Blvd Ste 600
Charlotte, NC 28203-5812

Mailing address

1000 Blythe Blvd Ste 600
Charlotte, NC 28203-5812
Phone (704) 355-3181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, 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
I20230830000193 CO Practitioner - Emergency Medicine 8325461403 Reassigns benefits to 1 organization
I20240822002904 KS Practitioner - Emergency Medicine 8325461403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Carolina School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Emergency Medicine, PLLCGroup PAC ID 7810291432, 160 clinicians
Carepoint Emergency Medicine Kansas LLCGroup PAC ID 9537440367, 79 clinicians

Practice addresses (Care Compare)

14200 E Arapahoe Rd
Centennial Medical Plaza
Englewood, CO 80112-4065
Phone (303) 699-3060

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260850NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Emergency Medicine, PLLC Emergency Medicine CurrentSince Jul 15, 2023 Accepting new patients
Carepoint Emergency Medicine Kansas LLC Emergency Medicine CurrentSince Jul 3, 2024 Accepting new patients

Locations

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

4930 Wabash St
Denver, CO 80238
Phone (303) 577-1500

14200 E Arapahoe Rd
Englewood, CO 80112
Phone (303) 699-3000

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

260 S Wadsworth Blvd
Lakewood, CO 80226
Phone (720) 417-7200

6196 S Ammons Way
Littleton, CO 80123
Phone (303) 788-6223

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

12793 Holly St
Thornton, CO 80241
Phone (303) 280-6400

9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003

221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100

2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900

Organizations & group practices 2

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 4

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1457988586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD STE 600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD STE 600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZLER",
        "first_name": "MORGAN",
        "middle_name": "MAZAKAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "260850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.