Individual provider Active NPI

Daniel W Zimmerman, MD

  • Family Medicine Physician
  • Stewartville, MN
National Provider Identifier
1063405561
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34365 Issued in MN
Practice address
208 Center Town PLZ N
Stewartville, MN 55976-1245
Phone
(507) 533-4727
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34365 MN Primary
Family Medicine Physician 207Q00000X 37515 WI

Addresses

Primary practice location

208 Center Town PLZ N
Stewartville, MN 55976-1245

Mailing address

208 Center Town PLZ N
Stewartville, MN 55976-1245
Phone (507) 533-4727

Other practice location 1

711 W Adams St
Black River Falls, WI 54615-9108
Phone (715) 284-5361

Other identifiers 1

IdentifierTypeStateIssuer
32203300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100712000337 WI Practitioner - Family Practice 8527969989 Reassigns benefits to 3 organizations
I20220426001181 MN Practitioner - Family Practice 8527969989 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mayo Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians

Practice addresses (Care Compare)

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37515WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Jun 29, 2022 Accepting new patients
Fairview Clinics Family Medicine CurrentSince Jun 29, 2022 Accepting new patients
Olmsted Medical Center CurrentSince Jun 13, 2022 Accepting new patients
Olmsted Medical Center CurrentSince Jun 13, 2022 Accepting new patients
Fairview Clinics Current Accepting new patients
Allina Health System CurrentSince Apr 1, 1996 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince Oct 10, 2020 Accepting new patients
Allina Health System CurrentSince Apr 1, 1996 Accepting new patients
Western Wisconsin Medical Associates CurrentSince Jan 1, 1997 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care CurrentSince Jun 29, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Ladd Memorial Hospital PastSince Jun 21, 2022 Accepting new patients
Stewartville Nursing Home, Inc. Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

4303 Highway 52 N
Rochester, MN 55901
Phone (507) 287-2714

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

208 Ctr Town Plz N
Stewartville, MN 55976
Phone (507) 533-4727

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

144 S Plum St
Ellsworth, WI 54011
Phone (715) 273-5041

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

1687 E Division St
River Falls, WI 54022
Phone (715) 425-6701

319 S Main St
River Falls, WI 54022
Phone (715) 425-6701

Interoperability endpoints

  • Direct secure messaging: dzimmerman19586@direct.olmmed.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stewartville Care CenterStewartville, MN, CCN 245349 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF
Mar 8, 2023
Mar 8, 2023
Mar 8, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

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.

View all 19

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1063405561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CENTER TOWN PLZ N",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559761245",
            "telephone_number": "507-533-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CENTER TOWN PLZ N",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559761245",
            "telephone_number": "507-533-4727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W Adams St",
            "address_purpose": "LOCATION",
            "city": "Black River Falls",
            "state": "WI",
            "postal_code": "546159108",
            "country_code": "US",
            "telephone_number": "715-284-5361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "DANIEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "34365",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "37515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32203300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewartville, MN

Sources for this page

Verify at the official NPI Registry.