Individual provider Active NPI

Mark Zuckerman, M.D.

  • Cytopathology Physician
  • Winchester, MA
National Provider Identifier
1376532754
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
58578 Issued in MA
Practice address
41 Highland Ave
Winchester Hospital
Winchester, MA 01890-1446
Phone
(781) 756-2319
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G137100 CA
Cytopathology Physician 207ZC0500X 58578 MA Primary

Addresses

Primary practice location

41 Highland Ave
Winchester Hospital
Winchester, MA 01890-1446

Mailing address

41 Highland Ave
Winchester Hospital
Winchester, MA 01890-1446
Phone (781) 756-2319

Other practice location 1

2374 E Pacifica Pl
Rancho Dominguez, CA 90220-6214
Phone (310) 225-3244

Other identifiers 1

IdentifierTypeStateIssuer
3043584MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201013001393 CA Practitioner - Pathology 9335182716 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson-Zuckerman Inc 2 clinicians

Practice addresses (Care Compare)

415 Hospital Dr
Ukiah, CA 95482-4545
Phone (800) 288-8325

Hospital & facility affiliations

  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310
  • Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

Merit-based Incentive Payment System (MIPS)

Final score
87.75 of 100Reported as group
Quality
77.5
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Humboldt Community Healthcare District CurrentSince Sep 24, 2020 Accepting new patients
Affiliated Pathologists Medical Group, Inc. Cytopathology CurrentSince Nov 1, 2020 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Sep 24, 2020 Accepting new patients
Jackson-Zuckerman Inc Anatomic Pathology & Clinical Pathology CurrentSince Apr 29, 2022 Accepting new patients
Pacific Path Inc Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2022 Accepting new patients
Pathology Services Inc Past Accepting new patients
Saint Vincent Physician Services, Inc. PastSince Apr 4, 2019 Accepting new patients
Worcester Urological Associates Inc Past Accepting new patients
Wayne B Glazier MD PC PastSince Sep 1, 2012 Accepting new patients
North Shore Urological Assoc., Inc Past Accepting new patients

Locations

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

2374 E Pacifica Pl
Rancho Dominguez, CA 90220
Phone (310) 225-3221

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

415 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-1823

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 10

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 5

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1376532754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HIGHLAND AVE",
            "address_2": "WINCHESTER HOSPITAL",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901446",
            "telephone_number": "781-756-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HIGHLAND AVE",
            "address_2": "WINCHESTER HOSPITAL",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901446",
            "telephone_number": "781-756-2319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2374 E Pacifica Pl",
            "address_purpose": "LOCATION",
            "city": "Rancho Dominguez",
            "state": "CA",
            "postal_code": "902206214",
            "country_code": "US",
            "telephone_number": "310-225-3244",
            "fax_number": "310-698-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G137100",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "MA",
            "license": "58578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3043584",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.