Individual provider Active NPI

Zachariah Joseph Blegen-Dipietro, M.D.

  • Vascular & Interventional Radiology Physician
  • Baltimore, MD
National Provider Identifier
1427469998
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
D0095093 Issued in MD
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

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 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
I20230517002536 VA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3072932490 Reassigns benefits to 1 organization
I20240528000559 FL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3072932490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic 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

Merit-based Incentive Payment System (MIPS)

Final score
86.74 of 100Reported as group
Quality
85
Improvement activities
40
Cost
74.49

Merit-based Incentive Payment System (MIPS)

Final score
71.5 of 100Reported as group
Quality
66.47
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.35
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
D0095093MDMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Radiology & Imaging Specialists Diagnostic Radiology PastSince Jan 5, 2025 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Sep 20, 2022 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.