Individual provider Active NPI

Timothy Gerald Zelenak, M.D.

  • Diagnostic Radiology Physician
  • Washington, PA
National Provider Identifier
1376746461
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD446076 Issued in PA
Practice address
155 Wilson Ave
Washington, PA 15301-3336
Phone
(724) 225-7000
Fax
(724) 229-2018
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME112739 FL
Diagnostic Radiology Physician 2085R0202X MD446076 PA Primary

Addresses

Primary practice location

155 Wilson Ave
Washington, PA 15301-3336

Mailing address

619 19TH St S
Birmingham, AL 35249-1900

Other practice location 1

161 E Nine Mile Rd Ste 100
Pensacola, FL 32534-3140
Phone (850) 201-2422

Other practice location 2

155 Wilson Ave
Washington, PA 15301-3336
Phone (724) 225-7000

Other practice location 3

4724 N Davis Hwy Ste 100
Pensacola, FL 32503-2339
Phone (850) 201-2421

Other identifiers 2

IdentifierTypeStateIssuer
1027536300001MedicaidPA
109676400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200911000796 FL Practitioner - Diagnostic Radiology 5698931244 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

3920 Arbor Trace Dr
Unit D
Lynn Haven, FL 32444-6716
Phone (904) 399-5550

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Technology Transfer Corporation CurrentSince Aug 5, 2020 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Medical Technology Transfer Corporation Current Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jun 29, 2021 Accepting new patients
Tampa General Hospital Current Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Jan 28, 2022 Accepting new patients

Locations

3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879

1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535

2253 Heart Pine Ave
Odessa, FL 33556
Phone (813) 723-5911

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2525 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 873-6900

4511 N Davis Hwy
Ste 1B
Pensacola, FL 32503
Phone (850) 484-8454

4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716

4724 N Davis Hwy
Ste 100
Pensacola, FL 32503
Phone (850) 201-2421

390 Challenger Rd
Port Canaveral, FL 32920
Phone (321) 633-8640

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

250 Harrison St
Ste 100
Titusville, FL 32780
Phone (321) 268-6674

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Interoperability endpoints

  • Direct secure messaging: tzelenak173979@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 11

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1376746461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "724-225-7000",
            "fax_number": "724-229-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 E Nine Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325343140",
            "country_code": "US",
            "telephone_number": "850-201-2422",
            "fax_number": "850-886-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153013336",
            "country_code": "US",
            "telephone_number": "724-225-7000",
            "fax_number": "724-229-2018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4724 N Davis Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032339",
            "country_code": "US",
            "telephone_number": "850-201-2421",
            "fax_number": "850-886-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELENAK",
        "first_name": "TIMOTHY",
        "middle_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME112739",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD446076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027536300001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109676400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.