Individual provider Active NPI

Pawel T Zymek, MD

  • Clinical Cardiac Electrophysiology Physician
  • Gilbert, AZ
National Provider Identifier
1053540567
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
49346 Issued in AZ
Practice address
4915 E Baseline Rd Ste 123
Gilbert, AZ 85234-2969
Phone
(480) 493-5152
Fax
(480) 935-3783
NPI assigned
Jul 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 49346 AZ Primary
Internal Medicine Physician 207R00000X 49346 AZ
Cardiovascular Disease Physician 207RC0000X T2009014850 MO
Cardiovascular Disease Physician 207RC0000X 49346 AZ

Addresses

Primary practice location

4915 E Baseline Rd Ste 123
Gilbert, AZ 85234-2969

Mailing address

4915 E Baseline Rd Ste 123
Gilbert, AZ 85234-2969
Phone (480) 493-5152

Other identifiers 2

IdentifierTypeStateIssuer
49346OtherAZSTATE LICENSE
933311MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140808000148 AZ Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 4688891088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zymek Cardiology PLLCGroup PAC ID 4082990486, 2 clinicians

Practice addresses (Care Compare)

6641 E Baywood Ave
Suite A3
Mesa, AZ 85206-1723
Phone (480) 493-5152

Hospital & facility affiliations

  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Merit-based Incentive Payment System (MIPS)

Final score
21.21 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2009014850MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zymek Cardiology PLLC Clinical Cardiac Electrophysiology CurrentSince Apr 24, 2017 Accepting new patients

Locations

4915 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 632-2004

4915 E Baseline Rd
Ste 123
Gilbert, AZ 85234
Phone (480) 493-5152

6740 S Kings Ranch Rd
Ste 103
Gold Canyon, AZ 85118
Phone (480) 543-1525

6641 E Baywood Ave
Ste A3A4
Mesa, AZ 85206

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100

6859 E Rembrandt Ave
Ste 117
Mesa, AZ 85212
Phone (480) 338-0029

6641 E Baywood Ave
Ste A4
Mesa, AZ 85206
Phone (480) 396-9020

6641 E Baywood Ave
Ste A3
Mesa, AZ 85206
Phone (480) 493-5152

6641 E Baywood Ave
Mesa, AZ 85206
Phone (480) 653-8400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFAJAD/Endpoint/JFAJAD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1053540567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 123",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342969",
            "telephone_number": "480-493-5152",
            "fax_number": "480-935-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 123",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342969",
            "telephone_number": "480-493-5152",
            "fax_number": "480-935-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYMEK",
        "first_name": "PAWEL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "49346",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "49346",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "T2009014850",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "49346",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "49346",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "933311",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.