Individual provider Active NPI

Charles J Zimmermann, DPM

  • Podiatrist
  • Lexington, KY
National Provider Identifier
1245248145
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00206 Issued in KY
Practice address
3080 Harrodsburg Rd
Ste 225
Lexington, KY 40503-2774
Phone
(859) 296-4272
Fax
(859) 296-9645
NPI assigned
Aug 4, 2006
Last updated
Sep 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00206 KY Primary

Addresses

Primary practice location

3080 Harrodsburg Rd
Ste 225
Lexington, KY 40503-2774

Mailing address

3080 Harrodsburg Rd
Ste 225
Lexington, KY 40503-2774
Phone (859) 296-4272

Other identifiers 3

IdentifierTypeStateIssuer
480031505OtherKYRAILROAD MEDICARE
000000041863OtherKYANTHEM BCBS
80002066MedicaidKY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000533 KY Practitioner - Podiatry 9537174982 Practice locations: Danville, KY; Lexington, KY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Citation Dr
Suite D
Danville, KY 40422-8633
Phone (859) 236-5140

105 Citation Dr D
Danville, KY 40422-8633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue232
Removal of skin lesions26
Removal of nail tissue458
Removal or shaving of skin growth812
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00206KYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles J Zimmermann DPM Podiatrist CurrentSince Sep 23, 1997 Accepting new patients

Locations

105 Citation Dr
Ste D
Danville, KY 40422
Phone (606) 236-5140

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, 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1245248145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 HARRODSBURG RD",
            "address_2": "STE 225",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032774",
            "telephone_number": "859-296-4272",
            "fax_number": "859-296-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 HARRODSBURG RD",
            "address_2": "STE 225",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032774",
            "telephone_number": "859-296-4272",
            "fax_number": "859-296-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480031505",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000041863",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002066",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.