Individual provider Active NPI

Robert James Mazalewski, PA-C

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1841587540
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085007782 Issued in IL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 265-5911
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085007782 IL Primary
Physician Assistant 363A00000X PA9106041 FL

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

PO Box 918025
Orlando, FL 32891-8025
Phone (352) 265-5911

Other practice location 1

600 W Adams St
Chicago, IL 60661-3604
Phone (312) 506-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110815000594 FL Practitioner - Physician Assistant 7012186703 Reassigns benefits to 2 organizations
I20201015003180 IL Practitioner - Physician Assistant 7012186703 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

121 W N Ave
Chicago, IL 60610-1315
Phone (312) 643-5606

13448 Cicero Ave
Crestwood, IL 60418-1430
Phone (708) 682-3384

1672 S Galena Ave
Dixon, IL 61021-9611
Phone (815) 564-2663

1702 N Milwaukee Ave
Chicago, IL 60647-5424
Phone (773) 770-4056

2077 N Clybourn Ave
Chicago, IL 60614-4003
Phone (773) 886-1500

3909 N Western Ave
Chicago, IL 60618-3741
Phone (773) 739-9200

405 W Golf Rd
Schaumburg, IL 60195-3501
Phone (224) 215-0011

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

5228 N Northwest Hwy
Chicago, IL 60630-4620
Phone (773) 770-4707

5300 S Long Ave
Chicago, IL 60638-2918
Phone (312) 300-7400

5961 N Lincoln Ave
Chicago, IL 60659-3758
Phone (312) 702-3923

600 W Adams St
Chicago, IL 60661-3604
Phone (312) 506-0900

6140 N Broadway St
Chicago, IL 60660-2538
Phone (773) 435-9028

6831 N Ave
Oak Park, IL 60302-1023
Phone (847) 653-0130

800 W Plainfield Rd
Countryside, IL 60525-3745
Phone (708) 298-0543

8630 W Golf Rd
Niles, IL 60714-5600
Phone (847) 299-0009

901 E Rand Rd
Mount Prospect, IL 60056-2580
Phone (708) 675-7966

933 W Diversity Pkwy
Chicago, IL 60614-1439
Phone (312) 445-8805

Hospital & facility affiliations

  • Osf Saint Katharine Medical Center Hospital, Dixon, IL, CCN 140012

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106041FLMDPhysician Assistant
085007782ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services, LLC Physician Assistant CurrentSince Jun 22, 2019 Accepting new patients
Cepamerica Illinois LLP CurrentSince Sep 1, 2021 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Jun 22, 2019 Accepting new patients
Cepamerica Illinois LLP CurrentSince Sep 1, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 15, 2011 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 15, 2011 Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 21, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

12311 W Newberry Rd
Newberry, FL 32669
Phone (352) 313-8000

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Organizations & group practices 16

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.

View all 16

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1841587540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918025",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328918025",
            "telephone_number": "352-265-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-265-5911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Adams St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606613604",
            "country_code": "US",
            "telephone_number": "312-506-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZALEWSKI",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007782",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.