Individual provider Active NPI

Ron Zuiderweg, D.O.

  • Nephrology Physician
  • Washington Terrace, UT
National Provider Identifier
1386680387
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13277025-1204 Issued in UT
Practice address
5285 S 400 E Ste B
Washington Terrace, UT 84405-7194
Phone
(801) 779-3500
Fax
(801) 779-3508
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4370 AZ
Nephrology Physician 207RN0300X 13277025-1204 UT Primary

Addresses

Primary practice location

5285 S 400 E Ste B
Washington Terrace, UT 84405-7194

Mailing address

3702 S State St Ste 107
South Salt Lake, UT 84115-5096
Phone (801) 288-2634

Other practice location 1

2132 N 1700 W Ste 110
Layton, UT 84041-7059
Phone (801) 779-3500

Other identifiers 3

IdentifierTypeStateIssuer
145467MedicaidAZ
4370OtherAZAZ MEDICAL LICENSE
1386680387MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rzuiderweg50328@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20230404001657 UT Practitioner - NephrologyPractitioner - Internal Medicine 1153324132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Utah LLCGroup PAC ID 2769468065, 31 clinicians

Practice addresses (Care Compare)

5285 S 400
Suite B
Washington Terrace, UT 84405-7194
Phone (801) 779-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13277025-1204UTMDNephrology Physician
4370AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology CurrentSince Aug 1, 2006 Accepting new patients
Akdhc, LLC Nephrology CurrentSince Aug 1, 2006 Accepting new patients
Nephrology Associates of Utah LLC Nephrology CurrentSince Apr 1, 2023 Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Kidney & Hypertension Institute of Utah PLLC Nephrology Past Accepting new patients
Bio-Medical Applications of Arizona, LLC PastSince Apr 10, 2018 Accepting new patients
Kidney & Hypertension Institute of Northern Utah LLC Nephrology Past Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine PastSince Nov 1, 2008 Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients
Northwest Tucson Dialysis LLC Past Accepting new patients

Locations (25 of 66)

10750 W McDowell Rd
Ste F600
Avondale, AZ 85392
Phone (623) 547-4668

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 473-7800

5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

6553 E Baywood Ave
Ste 205
Mesa, AZ 85206
Phone (480) 396-9922

1520 S Dobson Rd
Ste 304
Mesa, AZ 85202
Phone (480) 899-0767

1209 W Target Range Rd
Ste 104
Nogales, AZ 85621
Phone (520) 882-0696

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

1106 N Beeline Hwy
Payson, AZ 85541
Phone (928) 474-5286

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

5040 N 15th Ave
Ste 107
Phoenix, AZ 85015
Phone (520) 624-0888

16620 N 40th St
Ste B4
Phoenix, AZ 85032
Phone (602) 559-5770

4901 W McDowell Rd
Ste 110
Phoenix, AZ 85035
Phone (623) 849-9088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14360/brand/20/csg/1/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 8

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1386680387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 S STATE ST STE 107",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841155096",
            "telephone_number": "801-288-2634",
            "fax_number": "801-288-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 S 400 E STE B",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844057194",
            "telephone_number": "801-779-3500",
            "fax_number": "801-779-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2132 N 1700 W Ste 110",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840417059",
            "country_code": "US",
            "telephone_number": "801-779-3500",
            "fax_number": "801-779-3508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUIDERWEG",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "4370",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "UT",
            "license": "13277025-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145467",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL LICENSE",
            "identifier": "4370",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386680387",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rzuiderweg50328@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "5285 S 400 E Ste B",
            "city": "Washington Terrace",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844057194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington Terrace, UT

Sources for this page

Verify at the official NPI Registry.