Active NPI
Zachariah Joseph Blegen-Dipietro, M.D.
- Vascular & Interventional Radiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- D0095093
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-7490
- NPI assigned
- May 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | D0095093 | MD | Primary |
| Diagnostic Radiology Physician | 2085R0202X | D0095093 | MD |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
101 W Cross St Apt 327
Baltimore, MD 21230-3669
Phone (617) 335-9635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Ave O SE
Winter Haven, FL 33880-4333
Phone (863) 294-7010
Hospital & facility affiliations
- Lakeland Regional Medical Center
- Adventhealth Heart of Florida
- Winter Haven Hospital
- Adventhealth Lake Wales
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.74 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 74.49
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.5 of 100
- Quality
- 66.47
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.35
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0095093 | MD | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology & Imaging Specialists of Lakeland, PA | Diagnostic Radiology | Current | Accepting new patients |
| Radiology & Imaging Specialists of Lakeland | Diagnostic Radiology | Current | Accepting new patients |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology & Imaging Specialists of Lakeland, PA | Diagnostic Radiology | Past | Accepting new patients |
| Radiology & Imaging Specialists | Diagnostic Radiology | Past | Accepting new patients |
| Radiology & Imaging Specialists of Lakeland, PA | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 32)
2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402
2250 Osprey Blvd
Ste 100
Bartow, FL 33830
Phone (863) 533-7151
5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372
250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496
40124 Highway 27
Davenport, FL 33837
Phone (863) 419-2500
3016 Dyer Blvd
Kissimmee, FL 34741
Phone (941) 782-9456
410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433
1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251
3221 S Florida Ave
Ste B
Lakeland, FL 33803
Phone (863) 577-0296
130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
6150 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-1693
2120 Lakeland Hills Blvd
Lakeland, FL 33805
Phone 8636882334117
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
2400 Kathleen Rd
Lakeland, FL 33810
Phone (863) 284-3950
3221 S Florida Ave
Ste A
Lakeland, FL 33803
Phone (863) 577-8596
2135 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1250
1417 Lakeland Hills Blvd
Ste 102
Lakeland, FL 33805
Phone (863) 577-0316
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
8330 Lakewood Ranch Blvd
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 782-2100
18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010
6760 Fruitville Rd
Sarasota, FL 34240
Phone (941) 378-7500
2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 8
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.
-
- Diagnostic Radiology Physician
- Lakeland, FL
- NPI 1427049931
-
- Diagnostic Radiology Physician
- Valrico, FL
- NPI 1417423377
-
- Diagnostic Radiology Physician
- Alexandria, VA
- NPI 1013935709
-
- Diagnostic Radiology Physician
- Plant City, FL
- NPI 1376238642
-
- Diagnostic Radiology Physician
- Lakeland, FL
- NPI 1851803407
-
- Diagnostic Radiology Physician
- Bradenton, FL
- NPI 1538977046
-
- Vascular & Interventional Radiology Physician
- Lakeland, FL
- NPI 1063032993
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Kissimmee, FL
- NPI 1124530761
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Heart of Florida
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
dba AdventHealth Lake Wales
- General Acute Care Hospital
- Lake Wales, FL
- NPI 1053972760
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1427469998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W CROSS ST APT 327",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212303669",
"telephone_number": "617-335-9635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-7490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEGEN-DIPIETRO",
"first_name": "ZACHARIAH",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-18",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MD",
"license": "D0095093",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D0095093",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.