MASAKO MIZUSAWA (M.D.) – Medical Microbiology Physician, NPI 1962723619

MASAKO MIZUSAWA (M.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in Medical Microbiology Physician. They hold the professional credentials M.D.. They hold a License No. 25MA11384400 (NJ). The NPI Number for MASAKO MIZUSAWA (M.D.) is 1962723619

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MASAKO MIZUSAWA (M.D.)
NPI
1962723619
Phone
(816) 218-2523
Address
2310 HOLMES ST
Enumeration Date
17 June 2010
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8164041000
Graduation Year
2001 (25 years ago)
PAC ID
1052617131
Group Practice PAC ID
1153235825
Professional Enrollment ID
I20170712002900
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:15State licenses:2Digital endpointsOther names

Provider Addresses for MASAKO MIZUSAWA (M.D.)

  • 2310 HOLMES ST

    STE 800

    KANSAS CITY, MO 641082602

    Phone: (816) 218-2523

    Fax: (816) 285-6923

    Type: Mailing

  • 300 2ND AVE

    LONG BRANCH, NJ 077406303

    Phone: (732) 222-5200

    Type: Location

  • 2301 HOLMES ST

    KANSAS CITY, MO 641082640

    Phone: (816) 404-1885

    Fax: (816) 404-1082

    Type: Location

  • 2301 Holmes St

    Kansas City, MO 641082640

    Phone: (816) 404-1885

    Fax: (816) 404-1082

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $3,340.

Total Amount is formed as General ($3,340) + Research ($0) + Ownership ($0) = $3,340.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Roche Diagnostics Corporation ($3,268).

Total Amount

$3,340

General + Research + Ownership

Payments

5

Total payment records

General Amount

$3,340

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-22

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
I20230622002397IInfectious DiseaseNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64108)

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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: 1153235825View full group profile
NameSpecialtyState
D E R M A T O L O G YDC
D E R M A T O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Internal MedicineMO
-MO
P S Y C H I A T R YMO
P S Y C H I A T R YMO
Orthopedic SurgeryMO
Orthopedic SurgeryPA
P S Y C H I A T R YMO

Reviews

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Frequently asked questions

How is MASAKO MIZUSAWA (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MASAKO MIZUSAWA (M.D.) with NPI 1962723619.
Does the file indicate MASAKO MIZUSAWA (M.D.) is practicing under active NPI?
Directory data currently reports MASAKO MIZUSAWA (M.D.) as active.
What is MASAKO MIZUSAWA (M.D.) best known for clinically?
Directory data describes MASAKO MIZUSAWA (M.D.) with Medical Microbiology Physician. Clinical services aligned with this taxonomy classification.
What area does MASAKO MIZUSAWA (M.D.) serve?
MASAKO MIZUSAWA (M.D.)'s listing highlights Kansas City, Missouri; more addresses can appear in NPPES.
Is the information about MASAKO MIZUSAWA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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