Gandis G. Mazeika, M.D.

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

MD00038659 Issued in WA

Practice address

21701 76TH Ave W Ste 206
Edmonds, WA 98026-7536

Phone

(425) 636-2400

Fax

(425) 636-2401

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Neurology

Education

University of California, Davis School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gandis G Mazeika MD PSGroup PAC ID 8820081789, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

70.41 of 100Reported as individual

Quality

46.19

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gandis.mazeika.1@14215.direct.athenahealth.com

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.

• Gandis G Mazeika MD PS

  • Sleep Disorder Diagnostic Clinic/Center
  • Edmonds, WA
  • NPI 1326127309
  Medicare reassignment Care Compare group Authorized official
• Modern Sleep Physicians of California

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • San Jose, CA
  • NPI 1295520070
  NPD Authorized official

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1679518880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523543",
            "telephone_number": "206-427-4242",
            "fax_number": "425-636-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W STE 206",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267536",
            "telephone_number": "425-636-2400",
            "fax_number": "425-636-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZEIKA",
        "first_name": "GANDIS",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-10-12",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00038659",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "WA",
            "license": "MD00038659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110972",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce E Mauk, MD
• Cesario Aristeo May Garcia, LICSW
• Dejanae Maya
• Ross Lowell Mayberry, PH.D.
• Sharon Mayo, LMHC
• Anne Mazure-Schmidt
• Scott R. McAfee, M.D.
• Craig M McAllister, M.D.
• W. Kirk McAnlis, ATC, LAT
• Colleen M. McCabe, OTR/L

• Sleep Medicine (Psychiatry & Neurology) Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.