Individual provider Active NPI

Thomas Wayne Zunica, D.P.M.

  • Podiatrist
  • Indianapolis, IN
National Provider Identifier
1447329826
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000610A Issued in IN
Practice address
3901 Meadows Dr
Indianapolis, IN 46205-3113
Phone
(317) 221-3584
Fax
(317) 221-5771
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000610A IN Primary

Addresses

Primary practice location

3901 Meadows Dr
Indianapolis, IN 46205-3113

Mailing address

3901 Meadows Dr
Indianapolis, IN 46205-3113
Phone (317) 221-3584

Other identifiers 1

IdentifierTypeStateIssuer
100066900MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000610AINMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
T.L. Care, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tzunica15256@direct.eskenazihealth.edu

Organizations & group practices 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1447329826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MEADOWS DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053113",
            "telephone_number": "317-221-3584",
            "fax_number": "317-221-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MEADOWS DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053113",
            "telephone_number": "317-221-3584",
            "fax_number": "317-221-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNICA",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000610A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100066900",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.