Individual provider Active NPI

Michael W. Zinda, M.D.

  • Radiation Oncology Physician
  • Madison, WI
National Provider Identifier
1013972983
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
43903-020 Issued in WI
Practice address
1104 John Nolen Dr
Madison, WI 53713-1430
Phone
(608) 251-6868
Fax
(608) 251-4255
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 43903-020 WI Primary

Addresses

Primary practice location

1104 John Nolen Dr
Madison, WI 53713-1430

Mailing address

1104 John Nolen Dr
Madison, WI 53713-1430
Phone (608) 251-6868

Other identifiers 1

IdentifierTypeStateIssuer
34148700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43903-020WIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shared Magnetic Resonance Imaging Facility, Inc PastSince Oct 29, 2012 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013972983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 JOHN NOLEN DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131430",
            "telephone_number": "608-251-6868",
            "fax_number": "608-251-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 JOHN NOLEN DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131430",
            "telephone_number": "608-251-6868",
            "fax_number": "608-251-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINDA",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "43903-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34148700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.