Individual provider Active NPI

James S Zebrack, MD

  • Cardiovascular Disease Physician
  • Salt Lake City, UT
National Provider Identifier
1003808940
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
328827-1205 Issued in UT
Practice address
1160 E 3900 S
Ste 2000
Salt Lake City, UT 84124-1202
Phone
(801) 266-3418
Fax
(801) 288-4444
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 328827-1205 UT Primary

Addresses

Primary practice location

1160 E 3900 S
Ste 2000
Salt Lake City, UT 84124-1202

Mailing address

PO Box 741729
Atlanta, GA 30374-1729

Other identifiers 1

IdentifierTypeStateIssuer
D2130MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jzebrack3013@epicmtn.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511001082 UT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931149689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Nevada School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountainstar Cardiology St Marks LLCGroup PAC ID 2961661855, 42 clinicians

Practice addresses (Care Compare)

1160 E 3900
Suite 2000
Salt Lake City, UT 84124-1236
Phone (801) 266-3418

1200 E 3900
Salt Lake City, UT 84124-1300
Phone (801) 268-7111

4401 Harrison Blvd
Ogden, UT 84403-3195
Phone (801) 387-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as individual
Quality
88.29
Promoting interoperability
100
Improvement activities
40
Cost
83.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Hospitals and Clinics Past Accepting new patients

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: jzebrack3013@epicmtn.hcadirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1003808940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S",
            "address_2": "STE 2000",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241202",
            "telephone_number": "801-266-3418",
            "fax_number": "801-288-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEBRACK",
        "first_name": "JAMES",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2022-01-27",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "328827-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D2130",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jzebrack3013@epicmtn.hcadirect.net",
            "affiliation": "N",
            "address_1": "1160 E 3900 S",
            "address_2": "STE 2000",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841241202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.