Ida Lourdes Mazza, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD419073 Issued in PA

Practice address

711 N Sioux Point Rd
North Sioux City, SD 57049-5099

Phone

(712) 294-7468

NPI assigned

Sep 22, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, FL, SD, TX4 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 4

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Cardiocare Heart and Vascular Center PLLCGroup PAC ID 9436503927, 2 clinicians

Grand View HospitalGroup PAC ID 8022001924, 94 clinicians

Rodolfo Carrillo Jimenez, MD PAGroup PAC ID 5395805600, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
• West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BADGCD
• Direct secure messaging: ida.mazza.p20@direct.trinity-healthiowa.nextgenshare.com
• Direct secure messaging: ida.mazza.1@29615.direct.athenahealth.com
• Direct secure messaging: imazza1279574@direct.sw.org

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.

• Cardiocare Heart and Vascular Center PLLC

  • Cardiovascular Disease Physician
  • Jupiter, FL
  • NPI 1134803471

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Grand View Hospital

  • Cardiovascular Disease Physician
  • Sellersville, PA
  • NPI 1063196509

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rodolfo Carrillo Jimenez MD PA

  • Interventional Cardiology Physician
  • Delray Beach, FL
  • NPI 1477714533

  Single Specialty

  Medicare reassignment Care Compare group NPD
• St. Luke'S Physician Group, Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment Care Compare group
• Critical Care Medical Management Associates PLLC

  • Critical Care Medicine (Anesthesiology) Physician
  • Sleepy Hollow, NY
  • NPI 1194090878

  FL, Single Specialty

  Medicare reassignment NPD
• Grand View Hospital

  • Neurology Physician
  • Sellersville, PA
  • NPI 1699321570

  Single Specialty

  NPD
• St Luke'S Physician Group Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144

  Single Specialty

  NPD
• St. Luke'S Physician Group, Inc.

  • Neurology Physician
  • Bethlehem, PA
  • NPI 1588755425
  NPD
• Mercy Medical Services

  • Rural Health Clinic/Center
  • Anthon, IA
  • NPI 1255379400
  NPD (past)
• Pennsylvania Heart and Vascular Group, P.C.

  • Cardiovascular Disease Physician
  • Jenkintown, PA
  • NPI 1578515748

  Single Specialty

  NPD (past)
• St. Luke'S Physician Group, Inc

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
  • NPI 1447801535
  NPD (past)

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

• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation
• Good Samaritan Medical Center, Inc.

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation
• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation
• St. Luke'S Hospital Grand View Campus

  • General Acute Care Hospital
  • Sellersville, PA
  • NPI 1568459287
  Care Compare affiliation
• West Boca Medical Center, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1588697296
  Care Compare affiliation

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1518953850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N SIOUX POINT RD",
            "city": "NORTH SIOUX CITY",
            "state": "SD",
            "postal_code": "570495099",
            "telephone_number": "712-294-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N SIOUX POINT RD",
            "city": "NORTH SIOUX CITY",
            "state": "SD",
            "postal_code": "570495099",
            "telephone_number": "712-294-7468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3375 Burns Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104360",
            "country_code": "US",
            "telephone_number": "561-655-1318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Life Mark Dr",
            "address_purpose": "LOCATION",
            "city": "Sellersville",
            "state": "PA",
            "postal_code": "189601598",
            "country_code": "US",
            "telephone_number": "215-257-1127",
            "fax_number": "215-257-0129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "IDA",
        "middle_name": "LOURDES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME133355",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD419073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019560820003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Klarity Care LLC
• Michael James Kronaizl, DC
• Taylor Lambert, DC
• Lincare Inc.
• Marchetti RDS Health PLLC
• Mackenzie E McLean, DPT
• Helen E Moss, LMT
• Nationxpress
• Bethany R Nielsen, DDS
• North Sioux Chiropractic Clinic, Inc.

• Cardiovascular Disease Physician in North Sioux City, SD
• Providers in North Sioux City, SD by specialty
• Cardiovascular Disease Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.