Active NPI
John R. Zandt, M.D.
- Hospitalist Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 31971-020
- Practice address
- Waukesha Memorial Hospital-Hospitalist Program
725 American Avenue Room 2036
Waukesha, WI 53188 - Phone
- (262) 928-1000
- Fax
- (262) 928-6140
- NPI assigned
- Feb 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31971 | WI | |
| Hospitalist Physician | 208M00000X | 31971-020 | WI | Primary |
Addresses
Primary practice location
Waukesha Memorial Hospital-Hospitalist Program
725 American Avenue Room 2036
Waukesha, WI 53188
Mailing address
N17 W24100 Riverwood Drive Suite 250
Prohealth Care Medical Associates Inc.
Waukesha, WI 53188-1177
Phone (262) 928-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31703600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Wisconsin School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300
Hospital & facility affiliations
- Ascension Columbia St Marys Hospital Milwaukee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31971-020 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Apogee Medical Group Waukesha, SC | Hospitalist | Current | Accepting new patients |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Internal Medicine | Past | Accepting new patients |
| Sacred Heart Rehabilitation Institute, Inc. | Past | Accepting new patients |
Locations
W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
725 American Ave
Rm 2036
Waukesha, WI 53188
Phone (262) 928-1000
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
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.
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Hospitalist Physician
- Waukesha, WI
- NPI 1528544608
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1225071491
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Rehabilitation Hospital
- Mequon, WI
- NPI 1508920356
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1104899798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N17 W24100 RIVERWOOD DRIVE SUITE 250",
"address_2": "PROHEALTH CARE MEDICAL ASSOCIATES INC.",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881177",
"telephone_number": "262-928-4100",
"fax_number": "262-928-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAUKESHA MEMORIAL HOSPITAL-HOSPITALIST PROGRAM",
"address_2": "725 AMERICAN AVENUE ROOM 2036",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53188",
"telephone_number": "262-928-1000",
"fax_number": "262-928-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANDT",
"first_name": "JOHN",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "31971",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "31971-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31703600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.