Active NPI
Debra Ann Zillmer, M.D.
- Orthopaedic Surgery Physician
- Rochester, MN
National Provider Identifier
1114913944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 34112
- Practice address
- 200 First Street, SW
Rochester, MN 55905 - Phone
- (507) 284-2947
- Fax
- (507) 266-4234
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036104352 | IL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 036104352 | IL | |
| Orthopaedic Surgery Physician | 207X00000X | 34112 | MN | Primary |
Addresses
Primary practice location
200 First Street, SW
Rochester, MN 55905
Mailing address
200 First Street, SW
Rochester, MN 55905
Phone (507) 284-2947
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00948581 | Other | MN | RAILROAD MEDICARE |
| 036104352 | Medicaid | IL | |
| ENROLLED | Medicaid | MN | |
| 200042818 | Other | IL | RAILROAD MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036104352 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M&M Orthopaedics, LTD. | Orthopaedic Surgery | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Downers Grove, IL
- NPI 1326035114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1114913944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FIRST STREET, SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55905",
"telephone_number": "507-284-2947",
"fax_number": "507-266-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FIRST STREET, SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55905",
"telephone_number": "507-284-2947",
"fax_number": "507-266-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZILLMER",
"first_name": "DEBRA",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036104352",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IL",
"license": "036104352",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "34112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00948581",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036104352",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200042818",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.