Individual provider Active NPI

Andrew J. Mizerak, MD

  • Anesthesiology Physician
  • Ames, IA
National Provider Identifier
1982695912
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
36005 Issued in IA
Practice address
1111 Duff Ave
McFarland Clinic, PC
Ames, IA 50010-3014
Phone
(515) 239-3665
Fax
(515) 239-3665
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 36005 IA
Anesthesiology Physician 207L00000X 36005 IA Primary

Addresses

Primary practice location

1111 Duff Ave
McFarland Clinic, PC
Ames, IA 50010-3014

Mailing address

1111 Duff Ave, PO Box 3014
McFarland Clinic, PC
Ames, IA 50010-3014
Phone (515) 239-3665

Other identifiers 1

IdentifierTypeStateIssuer
0459792MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amizerak757@directmcfarlandclinic.com Health Information Exchange (HIE)

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
I20050512000850 IA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 7012992886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, Geffen School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1111 Duff Ave
Ames, IA 50010-5745
Phone (515) 239-4472

1215 Duff Ave
Ames, IA 50010-5400
Phone (515) 239-4400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36005IAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC CurrentSince Jul 1, 2005 Accepting new patients

Locations

1111 Duff Ave
Ames, IA 50010
Phone (515) 239-2011

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

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.

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1982695912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DUFF AVE, PO BOX 3014",
            "address_2": "MCFARLAND CLINIC, PC",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103014",
            "telephone_number": "515-239-3665",
            "fax_number": "519-239-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DUFF AVE",
            "address_2": "MCFARLAND CLINIC, PC",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103014",
            "telephone_number": "515-239-3665",
            "fax_number": "515-239-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZERAK",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IA",
            "license": "36005",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "36005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459792",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amizerak757@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1111 Duff Ave",
            "address_2": "McFarland Clinic, PC",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500103014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.