Individual provider Active NPI

Michael Anthony Zatina, M.D.

  • Vascular Surgery Physician
  • Baltimore, MD
National Provider Identifier
1376592923
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0043877 Issued in MD
Practice address
3407 Wilkens Ave Ste 400
Baltimore, MD 21229-5074
Phone
(410) 646-4888
Fax
(410) 646-2828
NPI assigned
May 10, 2006
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D0043877 MD Primary

Addresses

Primary practice location

3407 Wilkens Ave Ste 400
Baltimore, MD 21229-5074

Mailing address

3407 Wilkens Ave Ste 400
Baltimore, MD 21229-5074
Phone (410) 646-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20041122000763 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 8729043401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Miami, LM Miller School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

3407 Wilkens Ave
Suite 400
Baltimore, MD 21229-5074
Phone (410) 646-4888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc Current Accepting new patients
St Agnes Healthcare Inc CurrentSince Apr 1, 1999 Accepting new patients
Maryland Vascular Associates, LLC PastSince Jun 26, 2002 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3350 Wilkens Ave
Ste 201
Baltimore, MD 21229
Phone (410) 646-4888

3407 Wilkens Ave
Ste 400
Baltimore, MD 21229
Phone (410) 646-4888

3449 Wilkens Ave
Ste 102
Baltimore, MD 21229
Phone (667) 234-8675

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

700 Geipe Rd
Catonsville, MD 21228
Phone (410) 368-8750

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

Interoperability endpoints

  • Direct secure messaging: michael.zatina@sah.eclinicaldirectplus.com

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 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1376592923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295074",
            "telephone_number": "410-646-4888",
            "fax_number": "410-646-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295074",
            "telephone_number": "410-646-4888",
            "fax_number": "410-646-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATINA",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0043877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.