Individual provider Active NPI

Mark E Zolman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fort Wayne, IN
National Provider Identifier
1467455436
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
01044016A Issued in IN
Practice address
7201 Engle Rd
Fort Wayne, IN 46804-2228
Phone
(260) 432-1800
Fax
(260) 432-1804
NPI assigned
May 24, 2005
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 01044016A IN Primary

Addresses

Primary practice location

7201 Engle Rd
Fort Wayne, IN 46804-2228

Mailing address

7201 Engle Rd
Fort Wayne, IN 46804-2228
Phone (260) 432-1800

Other identifiers 2

IdentifierTypeStateIssuer
200211240MedicaidIN
P00439505OtherINRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040827000949 IN Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5698740256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Indiana University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9604 Coldwater Rd
Suite 101
Fort Wayne, IN 46825-2096
Phone (260) 232-2802

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
55.22 of 100Reported as group
Quality
80.26
Improvement activities
0
Cost
77.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Consultants LLC Physical Medicine & Rehabilitation CurrentSince Jan 2, 2007 Accepting new patients
Summit City Physical Medicine LLC Physical Medicine & Rehabilitation CurrentSince Nov 30, 2023 Accepting new patients
Physical Medicine Consultants LLC Current Accepting new patients
Fort Wayne Orthopaedics LLC Past Accepting new patients
Fort Wayne Orthopaedics, LLC Past Accepting new patients

Locations

306 E Maumee St
Ste 103
Angola, IN 46703
Phone (260) 432-1800

7201 Engle Rd
Fort Wayne, IN 46804
Phone (260) 432-1800

9604 Coldwater Rd
Ste 101
Fort Wayne, IN 46825
Phone (260) 232-2802

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1725/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1467455436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042228",
            "telephone_number": "260-432-1800",
            "fax_number": "260-432-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042228",
            "telephone_number": "260-432-1800",
            "fax_number": "260-432-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLMAN",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01044016A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200211240",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00439505",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.