Individual provider Active NPI

Mark B Mecikalski, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1821045105
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
13945 Issued in AZ
Practice address
7580 N Calle Sin Desengano
Tucson, AZ 85718-1264
Phone
(520) 390-8078
Fax
(520) 305-4304
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13945 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 13945 AZ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 13945 AZ Primary

Addresses

Primary practice location

7580 N Calle Sin Desengano
Tucson, AZ 85718-1264

Mailing address

7580 N Calle Sin Desengano
Tucson, AZ 85718-1264
Phone (520) 390-8078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050629000885 AZ Practitioner - Internal MedicinePractitioner - Pulmonary Disease 5294771366 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
University of California, Geffen School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Tucson, AZ 85718
Phone (520) 390-8078

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carondelet Health Network Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1821045105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 N CALLE SIN DESENGANO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181264",
            "telephone_number": "520-390-8078",
            "fax_number": "520-305-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 N CALLE SIN DESENGANO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181264",
            "telephone_number": "520-390-8078",
            "fax_number": "520-305-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECIKALSKI",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "13945",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "13945",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "13945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.