Individual provider Active NPI

Nicholas Benjamin Zaban, M.D.

  • Pediatric Cardiology Physician
  • Saint Cloud, MN
National Provider Identifier
1366701690
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
01076612A Issued in IN
Practice address
1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone
(320) 656-7020
NPI assigned
May 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 01076612A IN Primary

Addresses

Primary practice location

1406 6TH Ave N
Saint Cloud, MN 56303-1900

Mailing address

1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 656-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731000693 MN Practitioner - Pediatric MedicinePractitioner - Internal Medicine 0941440028 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
University of Minnesota Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

1200 6TH Ave N
Centracare Clic River Campus
Saint Cloud, MN 56303-2735
Phone (320) 252-5131

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Jul 1, 2021 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jul 1, 2021 Accepting new patients
University of Minnesota Physicians CurrentSince Jul 1, 2021 Accepting new patients
Mille Lacs Health System CurrentSince Jun 21, 2024 Accepting new patients
Mille Lacs Health System Current Accepting new patients
University of Minnesota Physicians CurrentSince Jul 1, 2021 Accepting new patients
Fairview Clinics Current Accepting new patients
Mille Lacs Health System Current Accepting new patients
Fairview Clinics CurrentSince Jul 1, 2021 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Oct 1, 2025 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jul 1, 2021 Accepting new patients
Fairview Health Services CurrentSince Jul 1, 2021 Accepting new patients
Mille Lacs Health System CurrentSince Jun 21, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince Jul 1, 2021 Accepting new patients
Fairview Express Care CurrentSince Jul 1, 2021 Accepting new patients
Centracare Clinic CurrentSince Aug 1, 2019 Accepting new patients
Centracare Clinic CurrentSince Aug 1, 2019 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Oct 1, 2025 Accepting new patients
Mille Lacs Health System Current Accepting new patients
Centracare Clinic Current Accepting new patients

Locations

13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

27378 State Highway 18
Garrison, MN 56450
Phone (320) 692-5599

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2450 Riverside Ave
Fl 12
Minneapolis, MN 55454
Phone (612) 273-5000

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

Interoperability endpoints

  • Direct secure messaging: nzaban462284@direct.centracare.com
  • Direct secure messaging: nzaban198805@fairview.direct-ci.com

Organizations & group practices 23

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.

View all 23

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": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1366701690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 6TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031900",
            "telephone_number": "320-656-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 6TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031900",
            "telephone_number": "320-656-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABAN",
        "first_name": "NICHOLAS",
        "middle_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2021-08-09",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IN",
            "license": "01076612A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.