NPIMap

Individual provider Active NPI

Michelle Zuccato Flynn, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1164788527
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD466692 Issued in PA
Practice address
805 Locust St
Philadelphia, PA 19107-5507
Phone
(215) 440-8681
NPI assigned
Apr 10, 2012
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD466692 PA Primary
Internal Medicine Physician 207R00000X 31561 OK

Addresses

Primary practice location

805 Locust St
Philadelphia, PA 19107-5507

Mailing address

805 Locust St
Philadelphia, PA 19107-5507
Phone (215) 440-8681

Other practice location 1

1324 N Harville Rd
Duncan, OK 73533-1514
Phone (580) 252-1373

Other names 1

  • Michelle Marie Zuccato Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906002234 PA Practitioner - Internal Medicine 3870807795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center City Personalized Care PCGroup PAC ID 4789163890, 6 clinicians
Ninth Street Internal Medicine Associates LTDGroup PAC ID 5799763702, 14 clinicians

Practice addresses (Care Compare)

805 Locust St
Philadelphia, PA 19107-5507
Phone (215) 940-9925

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31561OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ninth Street Internal Medicine Associates LTD Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Center City Personalized Care, PC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Summit Medical Center Past Accepting new patients
Duncan Regional Hospital, Inc Past Accepting new patients

Locations

805 Locust St
Philadelphia, PA 19107
Phone (215) 440-8681

834 Chestnut St
Ste M202
Philadelphia, PA 19107
Phone (215) 940-9925

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJBAA

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1164788527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075507",
            "telephone_number": "215-440-8681",
            "fax_number": "215-440-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075507",
            "telephone_number": "215-440-8681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 N Harville Rd",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "OK",
            "postal_code": "735331514",
            "country_code": "US",
            "telephone_number": "580-252-1373",
            "fax_number": "580-252-8336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MICHELLE",
        "middle_name": "ZUCCATO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2022-07-29",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD466692",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "31561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ZUCCATO",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.