Active NPI
James Zidar
- Interventional Cardiology Physician
- Raleigh, NC
National Provider Identifier
1205910189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 38717
- Practice address
- 2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607-6477 - Phone
- (919) 787-5380
- NPI assigned
- Oct 25, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 38717 | NC | |
| Interventional Cardiology Physician | 207RI0011X | 38717 | NC | Primary |
Addresses
Primary practice location
2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607-6477
Mailing address
2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607-6477
Phone (919) 787-5380
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jzidar7165@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Interventional Cardiology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11200 Governor Manly Way
Suite 303a
Raleigh, NC 27614-7375
Phone (919) 570-7590
Hospital & facility affiliations
- Rex Hospital
- Unc Health Care Wayne
- Unc Lenoir Health Care
- Johnston Health
- Unc Hospitals
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 38 |
| Leg revascularization (restoring blood flow) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina MG, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Rex Physicians LLC | Past | Accepting new patients |
Locations
6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997
2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060
11200 Governor Manly Way
Ste 303A
Raleigh, NC 27614
Phone (919) 570-7590
2800 Blue Ridge Rd
Ste 400
Raleigh, NC 27607
Phone (919) 784-3756
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
Organizations & group practices 3
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.
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
-
- Neurological Surgery Physician
- Raleigh, NC
- NPI 1134464597
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
-
- General Acute Care Hospital
- Kinston, NC
- NPI 1962446385
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
-
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1205910189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 BLUE RIDGE RD STE 400",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076477",
"telephone_number": "919-787-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 BLUE RIDGE RD STE 400",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076477",
"telephone_number": "919-787-5380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIDAR",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "38717",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NC",
"license": "38717",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jzidar7165@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2800 Blue Ridge Rd Ste 400",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276076477",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.