Active NPI
Zachary Adam Zimmerman, M.D.
- Otolaryngology Physician
- Beloit, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 75795-20
- Practice address
- Beloit Clinic
1905 E Huebbe Parkway
Beloit, WI 53511-1842 - Phone
- (608) 364-2400
- Fax
- (608) 363-7376
- NPI assigned
- Jul 9, 2015
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 7590 | GA | |
| Otolaryngology Physician | 207Y00000X | 036-151049 | IL | |
| Facial Plastic Surgery Physician | 207YS0123X | 036151049 | IL | |
| Facial Plastic Surgery Physician | 207YS0123X | 036-151049 | IL | |
| Facial Plastic Surgery Physician | 207YS0123X | 75795-20 | WI | |
| Otolaryngology Physician | 207Y00000X | 75795-20 | WI | Primary |
Addresses
Primary practice location
Beloit Clinic
1905 E Huebbe Parkway
Beloit, WI 53511-1842
Mailing address
Beloit Health System
1905 E. Huebbe Parkway
Beloit, WI 53511-1842
Phone (608) 364-2400
Other practice location 1
1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-4307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100175684 | Medicaid | WI | |
| 7590 | Other | FL | GEORGIA COMPOSITE MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Florida College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beloit Health System Inc
Practice addresses (Care Compare)
1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 364-2200
5605 E Rockton Rd
Roscoe, IL 61073-7641
Phone (815) 525-4930
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.93 of 100
- Quality
- 64.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7590 | GA | MD | Otolaryngology Physician |
| 036-151049 | IL | MD | Otolaryngology Physician |
| 036151049 | IL | MD | Facial Plastic Surgery Physician |
| 75795-20 | WI | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Health System Inc | Current | Accepting new patients | |
| Beloit Clinic, S.C. | Otolaryngology | Current | Accepting new patients |
| Beloit Health System Inc | Current | Accepting new patients | |
| Beloit Health System, Inc | Current | Accepting new patients | |
| Beloit Health System, Inc | Past | Accepting new patients |
Locations
5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
Organizations & group practices 5
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.
-
- General Practice Physician
- Beloit, WI
- NPI 1679616361
-
- General Practice Physician
- Roscoe, IL
- NPI 1841485984
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Beloit, WI
- NPI 1568677417
-
- Family Medicine Physician
- Janesville, WI
- NPI 1407999337
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beloit, WI
- NPI 1982780094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1265815187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BELOIT HEALTH SYSTEM",
"address_2": "1905 E. HUEBBE PARKWAY",
"city": "BELOIT",
"state": "WI",
"postal_code": "535111842",
"telephone_number": "608-364-2400",
"fax_number": "608-363-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BELOIT CLINIC",
"address_2": "1905 E HUEBBE PARKWAY",
"city": "BELOIT",
"state": "WI",
"postal_code": "535111842",
"telephone_number": "608-364-2400",
"fax_number": "608-363-7376"
}
],
"practiceLocations": [
{
"address_1": "1120 15th St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120004",
"country_code": "US",
"telephone_number": "706-721-4307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "ZACHARY",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-09",
"last_updated": "2023-09-07",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "7590",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036-151049",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "IL",
"license": "036151049",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "IL",
"license": "036-151049",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "WI",
"license": "75795-20",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WI",
"license": "75795-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100175684",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA COMPOSITE MEDICAL BOARD",
"identifier": "7590",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beloit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.