Active NPI
Zinabu Maxwell, MD
- Family Medicine Physician
- Lowell, MA
National Provider Identifier
1366616955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 246820
- Practice address
- 135 Jackson St
Lowell, MA 01852-2103 - Phone
- (978) 441-1700
- Fax
- (978) 454-1681
- NPI assigned
- Apr 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301091560 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301091560 | MI | |
| Family Medicine Physician | 207Q00000X | 246820 | MA | Primary |
Addresses
Primary practice location
135 Jackson St
Lowell, MA 01852-2103
Mailing address
135 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700
Hospital & facility affiliations
- Lowell General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301091560 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Medical Group, Inc | Past | Accepting new patients | |
| LGH Professional Services LLC | Past | Accepting new patients |
Interoperability endpoints
- zmaxwell45421@direct.ctc.masshiway.net
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Lowell, MA
- NPI 1952307530
-
- Primary Care Clinic/Center
- Tewksbury, MA
- NPI 1902870884
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
-
- Pulmonary Disease Physician
- Boston, MA
- NPI 1508187642
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1366616955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 JACKSON ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522103",
"telephone_number": "978-937-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 JACKSON ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522103",
"telephone_number": "978-441-1700",
"fax_number": "978-454-1681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "ZINABU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-15",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301091560",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301091560",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "246820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.