NPIMap

Individual provider Active NPI

Robert M Zukoski, M.D.

  • Surgery Physician
  • Southport, NC
National Provider Identifier
1346223054
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
26071 Issued in NC
Practice address
924 N Howe St
Southport, NC 28461-3038
Phone
(910) 457-5292
Fax
(910) 457-5409
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 26071 NC Primary

Addresses

Primary practice location

924 N Howe St
Southport, NC 28461-3038

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-5292

Other identifiers 2

IdentifierTypeStateIssuer
89928OtherNCBCBS
8989928MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20141113001945 NC Practitioner - General Surgery 2264345297 Reassigns benefits to 2 organizations
Practice locations: Southport, NC

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J. Arthur Dosher Memorial HospitalGroup PAC ID 8921910324, shared by 6 NPIs, 53 clinicians

Practice addresses (Care Compare)

821 N Atlantic Ave
Southport, NC 28461-3531
Phone (910) 457-3827

823 N Atlantic Ave
Southport, NC 28461-3531
Phone (910) 457-3827

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J. Arthur Dosher Memorial Hospital Current Accepting new patients
J Arthur Dosher Memorial Hospital Surgery CurrentSince Nov 1, 2014 Accepting new patients
J. Arthur Dosher Memorial Hospital Current Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Nov 1, 2014 Accepting new patients

Locations

904 N Howe St
Southport, NC 28461
Phone (910) 457-3880

819 N Atlantic Ave
Southport, NC 28461
Phone (910) 454-4635

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

821 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
J. Arthur Dosher Memorial HospitalSouthport, NC, CCN 34Z327 Hospital Corporate Director Nov 1, 2009
Dosher Medical - Oak IslandOak Island, NC, CCN 343448 Rural health clinic Corporate Director Jun 1, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 6

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1346223054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-5292",
            "fax_number": "910-457-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-5292",
            "fax_number": "910-457-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKOSKI",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "26071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89928",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989928",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.