Individual provider Active NPI

Herman Zaharowitz, M.D.

  • Nephrology Physician
  • St Petersburg, FL
National Provider Identifier
1285736934
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME0059106 Issued in FL
Practice address
4957 38TH Ave N Ste C
St Petersburg, FL 33710-2174
Phone
(727) 528-8992
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME0059106 FL Primary

Addresses

Primary practice location

4957 38TH Ave N Ste C
St Petersburg, FL 33710-2174

Mailing address

361 S Julia Cir
St Pete Beach, FL 33706-2718
Phone (727) 528-8992

Other identifiers 2

IdentifierTypeStateIssuer
110185134OtherFLRAILROAD MEDICARE
259095600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040220000628 FL Practitioner - Internal MedicinePractitioner - Nephrology 0547155244 Practice locations: Saint Petersburg, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0059106FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285736934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 S JULIA CIR",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337062718",
            "telephone_number": "727-528-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 38TH AVE N STE C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102174",
            "telephone_number": "727-528-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHAROWITZ",
        "first_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0059106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110185134",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259095600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.