Individual provider Active NPI

Kristan D Zimmermann, M.D.

  • Diagnostic Radiology Physician
  • Stamford, CT
National Provider Identifier
1306892286
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
031814 Issued in CT
Practice address
6 Shelburne Rd
Stamford, CT 06902-3628
Phone
(203) 359-0130
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 031814 CT Primary

Addresses

Primary practice location

6 Shelburne Rd
Stamford, CT 06902-3628

Mailing address

6 Nawthorne Rd
Old Greenwich, CT 06870-2116
Phone (203) 637-5546

Other names 1

  • Kristan D Zimmermann Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140318000952 NY Practitioner - Diagnostic Radiology 2062604481 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians

Practice addresses (Care Compare)

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031814CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Hospital Medical Center CurrentSince Apr 1, 2015 Accepting new patients
White Plains Hospital Medical Center Current Accepting new patients
White Plains Hospital Medical Center Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
East Post Road Medical Services PC Diagnostic Radiology CurrentSince Mar 18, 2021 Accepting new patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Mar 5, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Mar 5, 2019 Accepting new patients
White Plains Physician Services PC CurrentSince Jan 1, 2023 Accepting new patients
Southwest Connecticut Radiology, LLC Diagnostic Radiology Past Accepting new patients
Stamford Radiological Associates Diagnostic Radiology Past Accepting new patients
Western Connecticut Health Network Affiliates, Inc. Past Accepting new patients
Coastal Connecticut Radiology Associates, P.C. Diagnostic Radiology Past Accepting new patients

Locations

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

111 E 210th St
Bronx, NY 10467

200 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 798-5449

600 Mamaroneck Ave
Harrison, NY 10528
Phone (914) 628-6966

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 11

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 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1306892286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NAWTHORNE RD",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068702116",
            "telephone_number": "203-637-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHELBURNE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023628",
            "telephone_number": "203-359-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "KRISTAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "031814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTAN",
            "last_name": "ZIMMERMANN",
            "middle_name": "D",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.