NPIMap

Individual provider Active NPI

Zachary Daniel Mironov, DPM

  • Podiatrist
  • Allentown, PA
National Provider Identifier
1306475546
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC007323 Issued in PA
Practice address
2895 Hamilton Blvd Ste 101
Allentown, PA 18104-6172
Phone
(610) 330-9740
NPI assigned
Apr 8, 2020
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC007323 PA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X SC007323 PA

Addresses

Primary practice location

2895 Hamilton Blvd Ste 101
Allentown, PA 18104-6172

Mailing address

2895 Hamilton Blvd Ste 101
Allentown, PA 18104-6172
Phone (610) 330-9740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230329000646 PA Practitioner - Podiatry 0446624647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pace Foot and Ankle Centers PLLCGroup PAC ID 8527399591, 29 clinicians

Practice addresses (Care Compare)

2895 Hamilton Blvd
Suite 101
Allentown, PA 18104-6172
Phone (610) 330-9740

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.79 of 100Reported as group
Quality
72.83
Promoting interoperability
98
Improvement activities
40
Cost
72.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue143
Removal of skin lesions12
Removal of nail tissue780
Removal or shaving of skin growth616
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007323PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Nov 6, 2023 Accepting new patients
Pace Foot and Ankle Centers PLLC Podiatrist CurrentSince Apr 15, 2023 Accepting new patients
Star Community Health, Inc CurrentSince Nov 6, 2023 Accepting new patients
Pace Foot and Ankle Centers PLLC Foot & Ankle Surgery CurrentSince Apr 15, 2023 Accepting new patients

Locations

2895 Hamilton Blvd
Ste 101
Allentown, PA 18104
Phone (610) 432-9593

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

599 Arcola Rd
Collegeville, PA 19426
Phone (484) 565-8440

2025 Fairview Ave
Easton, PA 18042
Phone (610) 258-3567

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: zmironov@pace.emadirect.md

Organizations & group practices 4

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1306475546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-330-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-330-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRONOV",
        "first_name": "ZACHARY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007323",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.