Individual provider Active NPI

Leszek J Marczewski, MD

  • Family Medicine Physician
  • Sac City, IA
National Provider Identifier
1508837972
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27430 Issued in IA
Practice address
301 Highland Ave
Sac City, IA 50583-2411
Phone
(712) 662-7119
NPI assigned
Feb 1, 2006
Last updated
Dec 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27430 IA Primary

Addresses

Primary practice location

301 Highland Ave
Sac City, IA 50583-2411

Mailing address

24 N 9TH St
Suite a
Fort Dodge, IA 50501-3909
Phone (515) 574-6890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20100225000156 IA Practitioner - Family Practice 7113079963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

211 Highland Ave
Sac City, IA 50583-2424
Phone (712) 662-7105

551 Park Ave
Sac City, IA 50583-2427
Phone (712) 662-6260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27430IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Dec 24, 2017 Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

802 Kenyon Rd
Fl Attn
Fort Dodge, IA 50501

1010 15th St N
Humboldt, IA 50548
Phone (515) 332-2015

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

301 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

2015 W 5th St
Storm Lake, IA 50588
Phone (717) 732-6650

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Loring HospitalSac City, IA, CCN 161370 Hospital Operational/Managerial Control May 11, 1998
Loring HospitalSac City, IA, CCN 16Z370 Hospital Operational/Managerial Control May 11, 1998
Park View Rehabilitation CenterSac City, IA, CCN 165343 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 15, 2024
Aug 15, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 1

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1508837972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N 9TH ST",
            "address_2": "SUITE A",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013909",
            "telephone_number": "515-574-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHLAND AVE",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505832411",
            "telephone_number": "712-662-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCZEWSKI",
        "first_name": "LESZEK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "27430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sac City, IA

Sources for this page

Verify at the official NPI Registry.