NPIMap

Individual provider Active NPI

William Britt Zimmerman, DO

  • Urology Physician
  • East Lansing, MI
National Provider Identifier
1285803627
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5101016094 Issued in MI
Practice address
4660 S Hagadorn Rd Ste 600
East Lansing, MI 48823-5383
Phone
(517) 355-4205
Fax
(517) 355-4202
NPI assigned
Feb 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5101016094 MI Primary

Addresses

Primary practice location

4660 S Hagadorn Rd Ste 600
East Lansing, MI 48823-5383

Mailing address

804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 355-4205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090619000038 MI Practitioner - Urology 6002967718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
West Virginia School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

1215 E Michigan Ave
Lansing, MI 48912-1811

4660 S Hagadorn Rd
East Lansing, MI 48823-5353

4660 S Hagadorn Rd
Suite 500
East Lansing, MI 48823-6804
Phone (517) 884-4554

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016094MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University CurrentSince Jun 1, 2019 Accepting new patients
Michigan State University Current Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Urology CurrentSince Jun 1, 2019 Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients
Msu Health Care Inc. Past Accepting new patients

Locations

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 600
East Lansing, MI 48823
Phone (517) 267-2460

4660 S Hagadorn Rd
Ste 210
East Lansing, MI 48823
Phone (517) 353-3102

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

Interoperability endpoints

  • Direct secure messaging: william.zimmerman.1@25394.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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1285803627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A202",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-355-4205",
            "fax_number": "517-355-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S HAGADORN RD STE 600",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235383",
            "telephone_number": "517-355-4205",
            "fax_number": "517-355-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "WILLIAM",
        "middle_name": "BRITT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101016094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.