DR. MATTHEW JOHN MAZUREK (MD) – Anesthesiology Physician, NPI 1629060074

DR. MATTHEW JOHN MAZUREK (MD) is a healthcare provider. based in Bemidji, Minnesota. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 69541 (CT). The NPI Number for DR. MATTHEW JOHN MAZUREK (MD) is 1629060074

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW JOHN MAZUREK (MD)
NPI
1629060074
Phone
(218) 333-6136
Address
1300 ANNE ST NW
Enumeration Date
19 August 2005
Last Update Date
10 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
2036884242
Graduation Year
2001 (25 years ago)
PAC ID
4486697794
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20211105001183
Address ID
CT065103220NE20XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

969 ANESTHESIOLOGY in MN

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Provider Addresses for DR. MATTHEW JOHN MAZUREK (MD)

  • Sanford Bemidji Medical Center, 1300, Anne Street Northwest, Hillcrest Manor, Bemidji, Beltrami County, Minnesota, 56601, United States

    BEMIDJI, MN 566015103

    Phone: (218) 333-6136

    Type: Mailing

  • PO BOX 5074

    SIOUX FALLS, SD 571175074

    Phone:

    Type: Mailing

  • 800 HOWARD AVE

    NEW HAVEN, CT 065191369

    Phone: (203) 785-2572

    Type: Mailing

  • 1450 CHAPEL ST # E2006

    NEW HAVEN, CT 065114405

    Phone: (218) 333-6136

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211105001183IAnesthesiologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01480Anesthesia for other procedure on lower leg, ankle, and foot bones1615$0
00670Anesthesia for extensive surgery on spine1515$0
00912Anesthesia for removal of urinary bladder tumors including use of an endoscope1313$0
01230Anesthesia for procedure on upper 2/3rd of thigh bone1111$0
View full utilization report →

Insurance plans in this area (ZIP 56601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

Can I cross-check DR. MATTHEW JOHN MAZUREK (MD) using NPI 1629060074?
NPI 1629060074 belongs to DR. MATTHEW JOHN MAZUREK (MD); compare other details if you need extra assurance.
Would DR. MATTHEW JOHN MAZUREK (MD) appear as active to a payer?
You can treat DR. MATTHEW JOHN MAZUREK (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. MATTHEW JOHN MAZUREK (MD)?
DR. MATTHEW JOHN MAZUREK (MD)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MATTHEW JOHN MAZUREK (MD)?
Directory geography for DR. MATTHEW JOHN MAZUREK (MD) centers on Bemidji, Minnesota.
Does DR. MATTHEW JOHN MAZUREK (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.