JAKE MANDZIUK MD – NPI #1851019871
Pathology

A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.

JAKE MANDZIUK is a pathologist located in MILWAUKEE, WI. NPPES has assigned the NPI number 1851019871 to JAKE MANDZIUK on August 16, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207ZP0213X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Pediatric Pathology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAKE MANDZIUK below.

NPI Profile for
JAKE MANDZIUK

NPI Number
1851019871
Enumeration Date

(about 4 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAKE MANDZIUK
Credentials
MD
Primary location
DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE
9000 W. WISCONSIN AVE
MILWAUKEE, WI 53226
Phone: (414) 266-2255 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0213X
- Pathology / Pediatric Pathology (Primary)
WI 9953

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.