GABINO MANUEL MARIANO MAZA RODAS (M.D.) – Nephrology Physician, NPI 1710484241

GABINO MANUEL MARIANO MAZA RODAS (M.D.) is a healthcare provider. based in Madison, Wisconsin. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 125.072445 (IL). The NPI Number for GABINO MANUEL MARIANO MAZA RODAS (M.D.) is 1710484241

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
GABINO MANUEL MARIANO MAZA RODAS (M.D.)
NPI
1710484241
Phone
(708) 783-3400
Address
749 UNIVERSITY ROW STE 200
Enumeration Date
11 April 2018
Last Update Date
18 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9316500075
Graduation Year
2014 (12 years ago)
PAC ID
8527316892
Group Practice PAC ID
6406244599
Professional Enrollment ID
I20230424002389
Address ID
TN385012354CO427XXAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

239 NEPHROLOGY in WI

Provider Addresses for GABINO MANUEL MARIANO MAZA RODAS (M.D.)

  • 749 UNIVERSITY ROW STE 200

    MADISON, WI 537051465

    Phone: (708) 783-3400

    Fax: (708) 783-3341

    Type: Mailing

  • 1685 HIGHLAND AVE

    MADISON, WI 537052281

    Phone: (608) 265-7593

    Type: Location

  • 3249 S. OAK PARK AVE MACNEAL HOSPITAL

    BERWYN, IL 60402

    Phone: (708) 783-3400

    Fax: (708) 783-3341

    Type: Mailing

  • 3722 SOUTH HARLEM AVE. MACNEAL CENTER FOR INTERNAL MEDI

    SUITE LL34

    RIVERSIDE, IL 60546

    Phone: (708) 783-6566

    Fax: (708) 783-6567

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $954.

Total Amount is formed as General ($954) + Research ($0) + Ownership ($0) = $954.

Last reported payment date: 2024-10-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($427).

Total Amount

$954

General + Research + Ownership

Payments

30

Total payment records

General Amount

$954

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-26

Latest reported date

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: 2023-04-24

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
I20230424002389INephrologyTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes178115$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8526$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3920$0
99291Critical care, first 30-74 minutes3115$0
View full utilization report →

Insurance plans in this area (ZIP 53705)

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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: 6406244599View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalPA
N E P H R O L O G YTN
Nephrology, Internal MedicineTN
Nurse PractitionerTN
Nephrology, Internal MedicinePA

Reviews

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Frequently asked questions

Is there an official ID for GABINO MANUEL MARIANO MAZA RODAS (M.D.) in U.S. healthcare records?
The official identifier for GABINO MANUEL MARIANO MAZA RODAS (M.D.) is NPI 1710484241.
Is there an active status for GABINO MANUEL MARIANO MAZA RODAS (M.D.)?
For scheduling context, GABINO MANUEL MARIANO MAZA RODAS (M.D.) is shown as active in the registry.
What kind of doctor is GABINO MANUEL MARIANO MAZA RODAS (M.D.)?
GABINO MANUEL MARIANO MAZA RODAS (M.D.) is associated with Nephrology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Wisconsin is GABINO MANUEL MARIANO MAZA RODAS (M.D.) registered?
Use Madison, Wisconsin as the headline location for GABINO MANUEL MARIANO MAZA RODAS (M.D.) here.
Does GABINO MANUEL MARIANO MAZA RODAS (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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