Individual provider Active NPI

Zachary Zimko, D.O.

  • Psychiatry Physician
  • Largo, FL
National Provider Identifier
1437508561
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS15199 Issued in FL
Practice address
10225 Ulmerton Rd Ste 3a
Largo, FL 33771-3519
Phone
(727) 371-0079
Fax
(727) 371-0079
NPI assigned
Jun 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS15199 FL Primary

Addresses

Primary practice location

10225 Ulmerton Rd Ste 3a
Largo, FL 33771-3519

Mailing address

10225 Ulmerton Rd Ste 3a
Largo, FL 33771-3519
Phone (727) 371-0079

Other identifiers 1

IdentifierTypeStateIssuer
105706600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200323000883 FL Practitioner - PsychiatryPractitioner - Neuropsychiatry 6507294782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bywater Mental Health PLLCGroup PAC ID 7911396023, 5 clinicians

Practice addresses (Care Compare)

4500 140TH Ave N
Suite 101
Clearwater, FL 33762-3848
Phone (727) 371-0079

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bywater Mental Health PLLC Psychiatry CurrentSince Jul 23, 2021 Accepting new patients
Florida Behavioral Institute PLC Psychiatry CurrentSince Feb 10, 2020 Accepting new patients
Ibis Healthcare Inc CurrentSince Jun 1, 2021 Accepting new patients
Ibis Healthcare Inc CurrentSince Jun 1, 2021 Accepting new patients
Aim Pinellas CurrentSince Jul 23, 2021 Accepting new patients

Locations

4500 140th Ave N
Ste 101
Clearwater, FL 33762
Phone (727) 371-0079

10225 Ulmerton Rd
Ste 3A
Largo, FL 33771
Phone (727) 371-0079

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

1100 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-6444

5707 N 22nd St
Tampa, FL 33610
Phone (813) 272-2244

2212 E Henry Ave
Tampa, FL 33610
Phone (813) 272-2882

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1437508561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD STE 3A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713519",
            "telephone_number": "727-371-0079",
            "fax_number": "727-371-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD STE 3A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713519",
            "telephone_number": "727-371-0079",
            "fax_number": "727-371-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMKO",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS15199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105706600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.