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Dr. Mark J Ptacek, M.D.

Family Medicine Physician in Deadwood, SD · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083611958

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Registry record

Entity type Individual (Type 1)
Name Dr. Mark J Ptacek
Credential M.D.
Sex Male
Practice address 71 Charles St, Deadwood, SD, 57732
Enumeration date Jul 7, 2005
Last updated in NPPES Jul 21, 2022

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 16764 (NE) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 4872 (SD) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
460423930 Other NE HUMANA
46042393011 Medicaid NE -
9214155 Other NE DAKOTA CARE
3859 Other NE MIDLANDS CHOICE
7988021 Other NE AETNA
0123937 Other NE MEDICA
06676 Other NE NEBRASKA BCBS
460423930 Other NE TRICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Mark Ptacek's NPI record?
Cross-check NPI 1083611958 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1083611958 active?
Yes, as of the latest NPPES snapshot, NPI 1083611958 is active (record last updated 2022-07-21).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.