NPIMap

Individual provider Active NPI

Marzena Kaczmarczyk, P.A.

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1982746608
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04589 Issued in TX
Practice address
13111 East Fwy
Houston, TX 77015-5803
Phone
(281) 784-1111
NPI assigned
Feb 12, 2007
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 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 10001524A IN
Physician Assistant 363A00000X PA04589 TX Primary

Addresses

Primary practice location

13111 East Fwy
Houston, TX 77015-5803

Mailing address

211 Highland Cross Dr
Suite 275
Houston, TX 77073-1733
Phone (281) 784-1111

Other identifiers 5

IdentifierTypeStateIssuer
8N9808OtherTXBCBS
196291201MedicaidTX
8Y8214OtherTXBCBSTX
1982746608OtherTXTRICARE SOUTH
196291202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, NC, VA, WV5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20070718000697 TX Practitioner - Physician Assistant 2860593027 Reassigns benefits to 3 organizations
I20131216001892 IN Practitioner - Physician Assistant 2860593027 Reassigns benefits to 2 organizations
I20231227000386 NC Practitioner - Physician Assistant 2860593027 Reassigns benefits to 4 organizations
I20240205003946 VA Practitioner - Physician Assistant 2860593027 Reassigns benefits to 3 organizations
I20241125000395 WV Practitioner - Physician Assistant 2860593027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Hospital Medicine Associates of TX PAGroup PAC ID 4587962949, 8 clinicians

Practice addresses (Care Compare)

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 483-5000

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181

2512 Hendersonville Rd
Arden, NC 28704-9533
Phone (828) 376-7100

2900 S Loop
Suite 256
Palestine, TX 75801-6958
Phone (903) 731-1000

600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 228-0200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates of TX PA Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Cep America LLC CurrentSince Apr 1, 2022 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Jun 26, 2025 Accepting new patients
Cep America LLC CurrentSince Apr 1, 2022 Accepting new patients
Mesa Indiana Ed Associates, LLC Physician Assistant Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 8

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1982746608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HIGHLAND CROSS DR",
            "address_2": "SUITE 275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731733",
            "telephone_number": "281-784-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155803",
            "telephone_number": "281-784-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZMARCZYK",
        "first_name": "MARZENA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001524A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N9808",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196291201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8Y8214",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1982746608",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196291202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.