Individual provider Active NPI

David J. Zoeller, MD

  • Family Medicine Physician
  • Elizabethtown, KY
National Provider Identifier
1194708776
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26429 Issued in KY
Practice address
2413 Ring Rd Ste 110
Elizabethtown, KY 42701-5924
Phone
(270) 765-4535
Fax
(270) 763-1901
NPI assigned
Nov 28, 2005
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 26429 KY
Family Medicine Physician 207Q00000X 26429 KY Primary

Addresses

Primary practice location

2413 Ring Rd Ste 110
Elizabethtown, KY 42701-5924

Mailing address

2413 Ring Rd Ste 110
Elizabethtown, KY 42701-5924
Phone (270) 765-4535

Other identifiers 4

IdentifierTypeStateIssuer
4047817MedicaidTN
6426429400MedicaidKY
000000050365OtherKYANTHEM BCBS
1510590MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000508 KY Practitioner - Family PracticePractitioner - Addiction Medicine 1557355567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
University of Louisville School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Primecare PSCGroup PAC ID 6507850500, 3 clinicians

Practice addresses (Care Compare)

2413 Ring Rd
Suite 100
Elizabethtown, KY 42701-5924
Phone (270) 737-0077

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare PSC Family Medicine CurrentSince Jan 1, 1994 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Family Medicine Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Michael R Krueger MD PLLC Past Accepting new patients
Southern Indiana Diabetes and Endocrinology PC Past Accepting new patients
United Healthcare of Hardin, Inc Past Accepting new patients

Locations

1111 Ring Rd
Elizabethtown, KY 42701
Phone (270) 706-1111

1239 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 360-0851

1239 Woodland Dr
Ste 108
Elizabethtown, KY 42701
Phone (270) 765-4535

2413 Ring Rd
Ste 100
Elizabethtown, KY 42701
Phone (270) 737-0077

2413 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 765-4535

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1360 Rogersville Rd
Radcliff, KY 40160
Phone (270) 351-1150

Interoperability endpoints

  • Direct secure messaging: david.zoeller.1@22055.direct.athenahealth.com
  • Direct secure messaging: david.zoeller.2@15287.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1194708776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 RING RD STE 110",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015924",
            "telephone_number": "270-765-4535",
            "fax_number": "270-763-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 RING RD STE 110",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015924",
            "telephone_number": "270-765-4535",
            "fax_number": "270-763-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOELLER",
        "first_name": "DAVID",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "26429",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "26429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4047817",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6426429400",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000050365",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510590",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.