Individual provider Active NPI

Zdenek A Tusek, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1073602116
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
3694A Issued in WY
Practice address
4055 Valley View LN
Dallas, TX 75244-5074
Phone
(972) 715-3800
Fax
(888) 705-9777
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 3694A WY Primary
General Practice Physician 208D00000X 16941 NE

Addresses

Primary practice location

4055 Valley View LN
Dallas, TX 75244-5074

Mailing address

359 Stetler Ave
Selinsgrove, PA 17870-9031
Phone (570) 743-8657

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
3694AWYMDDiagnostic Radiology Physician
16941NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Selinsgrove Diagnostic Radiology Past Accepting new patients
Donald C. Burr Radiologist Diagnostic Radiology Past Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Evangelical Rad Assoc LTD Diagnostic Radiology Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1073602116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 STETLER AVE",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709031",
            "telephone_number": "570-743-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445074",
            "telephone_number": "972-715-3800",
            "fax_number": "888-705-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSEK",
        "first_name": "ZDENEK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "3694A",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "16941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.