Active NPI
Stephan M Zentner, MD
- Family Medicine Physician
- Fishers, IN
National Provider Identifier
1114914058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 291967
- Practice address
- 9795 E 116TH St
Fishers, IN 46037-2822 - Phone
- (317) 913-8100
- NPI assigned
- Oct 5, 2005
- Last updated
- Sep 22, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 291967 | MA | Primary |
| Family Medicine Physician | 207Q00000X | 01036195A | IN |
Addresses
Primary practice location
9795 E 116TH St
Fishers, IN 46037-2822
Mailing address
9795 E 116TH St
Fishers, IN 46037-2822
Other practice location 1
41 Mall Rd
Burlington, MA 01805-2822
Phone (781) 744-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92638 | Other | GEISINGER HEALTH PLAN | |
| 000000316645 | Other | ANTHEM BLUECROSS/BLUESHIE | |
| 200306400 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01036195A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Urgent Care Centers, LLC | Past | Accepting new patients | |
| Emergency Physicians of Indianapolis, PC | Past | Accepting new patients |
Interoperability endpoints
- stephan.zentner.2@7598.direct.athenahealth.com
- szentner187011@direct.bilh.masshiway.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1770538340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1114914058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9795 E 116TH ST",
"city": "FISHERS",
"state": "IN",
"postal_code": "460372822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9795 E 116TH ST",
"city": "FISHERS",
"state": "IN",
"postal_code": "460372822",
"telephone_number": "317-913-8100"
}
],
"practiceLocations": [
{
"address_1": "41 Mall Rd",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "MA",
"postal_code": "018052822",
"country_code": "US",
"telephone_number": "781-744-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZENTNER",
"first_name": "STEPHAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "291967",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01036195A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "92638",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUECROSS/BLUESHIE",
"identifier": "000000316645",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200306400",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.