Individual provider Active NPI

Zachary Ira Albert, D.O.

  • Anesthesiology Physician
  • Norfolk, VA
National Provider Identifier
1396883740
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DR.0056625 Issued in CO
Practice address
U S Marine Corps Forces Command Health Services Suppor
1468 Ingram Street
Norfolk, VA 23551-2596
Phone
(757) 836-1685
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X DR.0056625 CO Primary
General Practice Physician 208D00000X 2006-01351 NC

Addresses

Primary practice location

U S Marine Corps Forces Command Health Services Suppor
1468 Ingram Street
Norfolk, VA 23551-2596

Mailing address

U S Marine Corps Forces Command Health Services Suppor
1468 Ingram Street
Norfolk, VA 23551-2596
Phone (757) 836-1685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151024000192 NC Practitioner - Anesthesiology 2860701281 Reassigns benefits to 1 organization
I20160726001012 CO Practitioner - Anesthesiology 2860701281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1400 E Boulder St
Suite 2508
Colorado Springs, CO 80909-5533
Phone (719) 365-6999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Anesthesiology Current Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Aug 23, 2015 Accepting new patients
Poudre Valley Medical Group, LLC General Practice CurrentSince Jan 15, 2018 Accepting new patients
Albemarle Physician Services- Sentara, Inc. Anesthesiology CurrentSince Aug 23, 2015 Accepting new patients
Albemarle Physician Services - Sentara, Inc Current Accepting new patients
U.S. Marine Corps Forces Command Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

1400 E Boulder St
Ste 1183
Colorado Springs, CO 80909
Phone (719) 365-6999

1400 E Boulder St
Ste 2508
Colorado Springs, CO 80909
Phone (719) 365-1292

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

Organizations & group practices 6

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 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1396883740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "U S MARINE CORPS FORCES COMMAND HEALTH SERVICES SUPPOR",
            "address_2": "1468 INGRAM STREET",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235512596",
            "telephone_number": "757-836-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U S MARINE CORPS FORCES COMMAND HEALTH SERVICES SUPPOR",
            "address_2": "1468 INGRAM STREET",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235512596",
            "telephone_number": "757-836-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "ZACHARY",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0056625",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2006-01351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.