Andru Ziwasimon Zeller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2001-343 Issued in NM

Practice address

202 Morningside Dr SE
Albuquerque, NM 87108-2633

Phone

(505) 266-0888

Fax

(505) 738-3936

NPI assigned

Oct 3, 2006

Last updated

Aug 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 10, 2018 through Oct 10, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Just Health Care LLC

  • Primary Care Clinic/Center
  • Albuquerque, NM
  • NPI 1558068049
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1306930797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MORNINGSIDE DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082633",
            "telephone_number": "505-266-0888",
            "fax_number": "505-738-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MORNINGSIDE DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082633",
            "telephone_number": "505-266-0888",
            "fax_number": "505-738-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIWASIMON ZELLER",
        "first_name": "ANDRU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2001-343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Zink, CNP
• Teresa Ziomek, OT
• Virginia Zirpel Kimura, RN
• Bridgette Jennifer Zirwas, FNP-C
• Fredi Ziter
• Trevor Zlatnik, DMD
• Janis M Zloto, DOM, CNM
• Monica Zmuda, LPCC
• Richard C Zobel, O.D.
• Linda Margaret Zobrist, LPCC

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.