Individual provider Active NPI

George Raymond Zambelli Jr., M.D.

  • Ophthalmology Physician
  • Rochester, PA
National Provider Identifier
1295915684
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD019985E Issued in PA
Practice address
380 Adams St
Rochester, PA 15074-2138
Phone
(724) 728-5000
Fax
(724) 728-3248
NPI assigned
Nov 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD019985E PA Primary

Addresses

Primary practice location

380 Adams St
Rochester, PA 15074-2138

Mailing address

380 Adams St
Rochester, PA 15074-2138
Phone (724) 728-5000

Other identifiers 8

IdentifierTypeStateIssuer
0010371590003MedicaidPA
91740OtherPAAETNA
E55440OtherPAUPIN
1503486OtherPAGATEWAY
206043OtherPAUPMC
060837OtherPAPABS
E55440OtherPACOVENTRY
5470440OtherPACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090824000574 PA Practitioner - Ophthalmology 3870647902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western PA Eye Phys and SurgeonsGroup PAC ID 4284789249, 2 clinicians

Practice addresses (Care Compare)

380 Adams St
Rochester, PA 15074-2138
Phone (724) 728-5000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery80

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD019985EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western PA Eye Phys and Surgeons Ophthalmology CurrentSince Jul 10, 2009 Accepting new patients

Locations

380 Adams St
Rochester, PA 15074
Phone (724) 728-5000

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1295915684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ADAMS ST",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150742138",
            "telephone_number": "724-728-5000",
            "fax_number": "724-728-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ADAMS ST",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150742138",
            "telephone_number": "724-728-5000",
            "fax_number": "724-728-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBELLI",
        "first_name": "GEORGE",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD019985E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010371590003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "91740",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E55440",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1503486",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "206043",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PABS",
            "identifier": "060837",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "E55440",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5470440",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, PA

Sources for this page

Verify at the official NPI Registry.