Mark Mizuba, CRNA
NPI 1164439899 · Certified Registered Nurse Anesthetist · Roanoke, VA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Mizuba, CRNA is a Certified Registered Nurse Anesthetist provider in Roanoke, VA (NPI 1164439899).
Provider details
- NPI number
- 1164439899
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 0024166707 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1970 Roanoke BlvdSalem, VA 24153-6404Phone: (540) 982-2463Fax: (540) 983-1090
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2025-12-22
- Certified
- 2025-12-22
Frequently asked questions
- What is Mark Mizuba's NPI number?
- Mark Mizuba's National Provider Identifier (NPI) is 1164439899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Mizuba's specialty?
- Mark Mizuba is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mark Mizuba located?
- Mark Mizuba's practice location on file with NPPES is 1906 Belleview Ave Se, Roanoke, VA 24014-1838.
- What is Mark Mizuba's phone number?
- The practice phone number listed in the NPPES registry for Mark Mizuba is (540) 853-0222.
- Does Mark Mizuba accept Medicare?
- Mark Mizuba is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Mizuba's NPI active?
- Yes — Mark Mizuba's NPI (1164439899) is active in the NPPES registry as of the last update on 2025-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.