Individual provider Active NPI

Elizabeth Ann Baracz-Zimmerman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Seven Hills, OH
National Provider Identifier
1326162173
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3455 Issued in OH
Practice address
7393 Broadview Rd
Suite F
Seven Hills, OH 44131-4444
Phone
(216) 642-3668
Fax
(216) 573-0769
NPI assigned
Mar 19, 2007
Last updated
May 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3455 OH Primary

Addresses

Primary practice location

7393 Broadview Rd
Suite F
Seven Hills, OH 44131-4444

Mailing address

7393 Broadview Rd
Suite F
Seven Hills, OH 44131-4444
Phone (216) 642-3668

Other identifiers 5

IdentifierTypeStateIssuer
7034913OtherOHAETNA
2777777MedicaidOH
5299569OtherOHCIGNA
393003OtherOHWELLCARE
000000521894OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070709000079 OH Practitioner - Podiatry 2769582618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin M. Kane D.P.M. Inc.Group PAC ID 9234231242, 3 clinicians

Practice addresses (Care Compare)

7393 Broadview Rd
Suite F
Seven Hills, OH 44131-4445
Phone (216) 642-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.29 of 100Reported as individual
Quality
60.05
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions80
Removal of nail tissue1494
Removal or shaving of skin growth464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3455OHMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin M. Kane D.P.M. Inc. Foot & Ankle Surgery CurrentSince Jul 1, 2007 Accepting new patients
Wound Care Consultants LLC Foot & Ankle Surgery CurrentSince Apr 1, 2011 Accepting new patients

Locations

6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334

7393 Broadview Rd
Ste F
Seven Hills, OH 44131
Phone (216) 642-3668

Interoperability endpoints

  • Direct secure messaging: ebaraczzimmerman36061@ehrdirect.uhhospitals.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1326162173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7393 BROADVIEW RD",
            "address_2": "SUITE F",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441314444",
            "telephone_number": "216-642-3668",
            "fax_number": "216-573-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7393 BROADVIEW RD",
            "address_2": "SUITE F",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441314444",
            "telephone_number": "216-642-3668",
            "fax_number": "216-573-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARACZ-ZIMMERMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "3455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7034913",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2777777",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5299569",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "393003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000521894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Hills, OH

Sources for this page

Verify at the official NPI Registry.