Individual provider Active NPI

Harold Edward Zylicz II, PA

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1366096950
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
320117 Issued in LA
Practice address
8585 Picardy Ave Ste 210
Baton Rouge, LA 70809-3749
Phone
(225) 819-1181
Fax
(225) 246-8333
NPI assigned
Jul 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 320117 LA
Physician Assistant 363A00000X 320117 LA Primary

Addresses

Primary practice location

8585 Picardy Ave Ste 210
Baton Rouge, LA 70809-3749

Mailing address

8585 Picardy Ave Ste 210
Baton Rouge, LA 70809-3749
Phone (225) 819-1181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816000032 LA Practitioner - Physician Assistant 6608270582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge General Physicians IncGroup PAC ID 5193623643, 189 clinicians

Practice addresses (Care Compare)

6615 Perkins Rd
Suite a
Baton Rouge, LA 70808-4261
Phone (225) 819-1181

8585 Picardy Ave
Baton Rouge, LA 70809-3679

8595 Picardy Ave
Baton Rouge, LA 70809-3675

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
320117LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. CurrentSince Jun 2, 2025 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Jun 2, 2025 Accepting new patients

Locations

6615 Perkins Rd
Ste A
Baton Rouge, LA 70808
Phone (225) 819-1181

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

8585 Picardy Ave
Ste 210
Baton Rouge, LA 70809
Phone (225) 237-1940

Interoperability endpoints

  • Direct secure messaging: hzylicz123915@direct.casso.us.com
  • Direct secure messaging: hzylicz21711@brgeneralhealthsystem.direct-ci.com

Organizations & group practices 3

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 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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1366096950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE STE 210",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093749",
            "telephone_number": "225-819-1181",
            "fax_number": "225-246-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE STE 210",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093749",
            "telephone_number": "225-819-1181",
            "fax_number": "225-246-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYLICZ",
        "first_name": "HAROLD",
        "middle_name": "EDWARD",
        "name_suffix": "II",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "320117",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "320117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.