Individual provider Active NPI

Nathan Zziwa Zziwambazza, MD

  • Emergency Medicine Physician
  • Howell, MI
National Provider Identifier
1033160296
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301074219 Issued in MI
Practice address
620 Byron Rd
Howell, MI 48843-1002
Phone
(517) 545-6000
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301074219 MI Primary

Addresses

Primary practice location

620 Byron Rd
Howell, MI 48843-1002

Mailing address

PO Box 673397
Detroit, MI 48267-3397
Phone (866) 898-7139

Other identifiers 6

IdentifierTypeStateIssuer
4433870MedicaidMI
4527618MedicaidMI
4628227MedicaidMI
4478228MedicaidMI
NZ074219OtherMIBLUE CROSS BLUE SHIELD
104735147MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050713000180 MI Practitioner - Emergency Medicine 7517993553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arizona College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturgis Hospital IncGroup PAC ID 5395884621, 16 clinicians

Practice addresses (Care Compare)

916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 651-7824

Hospital & facility affiliations

  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Sturgis Hospital Hospital, Sturgis, MI, CCN 230779

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sturgis Hospital, Inc. CurrentSince Feb 28, 2024 Accepting new patients
Professional Emergency Care, PC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Sturgis Hospital, Inc. CurrentSince Feb 28, 2024 Accepting new patients
Sturgis Hospital, Inc. Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

Organizations & group practices 6

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1033160296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673397",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482673397",
            "telephone_number": "866-898-7139",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431002",
            "telephone_number": "517-545-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZZIWAMBAZZA",
        "first_name": "NATHAN",
        "middle_name": "ZZIWA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301074219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4433870",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4527618",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4628227",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4478228",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NZ074219",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104735147",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.