Active NPI
Jeffrey W Zipkin, MD
- Urology Physician
- Blue Ash, OH
National Provider Identifier
1104868553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35-04-4736
- Practice address
- 10220 Alliance Rd
Blue Ash, OH 45242-4710 - Phone
- (513) 841-7800
- Fax
- (513) 841-7801
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35-04-4736 | OH | Primary |
Addresses
Primary practice location
10220 Alliance Rd
Blue Ash, OH 45242-4710
Mailing address
2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0276946 | Medicaid | OH | |
| 0520378 | Medicaid | OH | |
| 340015515 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100122000199 | OH | Practitioner - Urology | 7113831546 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1104868553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 JOSEPH E SANKER BLVD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452121979",
"telephone_number": "513-841-7400",
"fax_number": "513-841-7402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10220 ALLIANCE RD",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452424710",
"telephone_number": "513-841-7800",
"fax_number": "513-841-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIPKIN",
"first_name": "JEFFREY",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35-04-4736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0276946",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0520378",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340015515",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.