Individual provider Active NPI

Kenneth M Zonies, MD

  • Internal Medicine Physician
  • Pikesville, MD
National Provider Identifier
1407035280
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0020333 Issued in MD
Practice address
1838 Greene Tree Rd
Ste 300
Pikesville, MD 21208
Phone
(410) 653-0366
Fax
(410) 653-2527
NPI assigned
Oct 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0020333 MD Primary

Addresses

Primary practice location

1838 Greene Tree Rd
Ste 300
Pikesville, MD 21208

Mailing address

1838 Greene Tree Rd
Ste 300
Pikesville, MD 21208
Phone (410) 653-0366

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
I20110510000476 MD Practitioner - Internal Medicine 0244416139 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians CurrentSince Nov 1, 2016 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Nov 1, 2016 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients

Locations

2700 Quarry Lake Dr
Ste 200
Baltimore, MD 21209
Phone (410) 415-5800

1838 Greene Tree Rd
Ste 300
Pikesville, MD 21208
Phone (410) 653-0366

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1407035280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "STE 300",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-653-0366",
            "fax_number": "410-653-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "STE 300",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-653-0366",
            "fax_number": "410-653-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONIES",
        "first_name": "KENNETH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0020333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.