Active NPI
Thomas J Zekan, MD
- Diagnostic Radiology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME114130
- Practice address
- 13813 Metro Pkwy
Fort Myers, FL 33912-4343 - Phone
- (855) 674-4624
- Fax
- (941) 883-8386
- NPI assigned
- Jul 15, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 18831 | WV | |
| Diagnostic Radiology Physician | 2085R0202X | 68636 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | W4389 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | ME114130 | FL | Primary |
Addresses
Primary practice location
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
610 19th St
Columbus, GA 31901-1528
Phone (706) 322-7884
Other practice location 2
5625 Eiger Rd Ste 200
Austin, TX 78735-8982
Phone (512) 892-7076
Other practice location 3
1306 Kanawha Blvd E Bldg 2
Charleston, WV 25301-3000
Phone (304) 951-1588
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TN07Y | Other | FL | BCBS |
| 300132457 | Other | WV | RAILROAD MEDICARE |
| 016906800 | Medicaid | FL | |
| 000026314 | Other | WV | BCBS |
| 0121589000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- West Virginia University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343
5625 Eiger Rd
200 Premier Family Physicians
Austin, TX 78735-8977
Phone (512) 892-7076
610 19TH St
Columbus, GA 31901-1528
Phone (706) 322-7884
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 75.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68636 | GA | MD | Diagnostic Radiology Physician |
| W4389 | TX | MD | Diagnostic Radiology Physician |
| 18831 | WV | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group of Georgia LLC | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255
1528 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 458-3338
13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
610 19th St
Columbus, GA 31901
Phone (706) 322-7884
446 Poplar St
#B
Macon, GA 31201
Phone (478) 746-0097
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- thomas.zekan.1@4290.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Internal Medicine Physician
- Columbus, GA
- NPI 1538993084
-
- Family Medicine Physician
- Austin, TX
- NPI 1235130592
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1497754105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774",
"fax_number": "239-599-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13813 METRO PKWY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124343",
"telephone_number": "855-674-4624",
"fax_number": "941-883-8386"
}
],
"practiceLocations": [
{
"address_1": "610 19th St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319011528",
"country_code": "US",
"telephone_number": "706-322-7884",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5625 Eiger Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787358982",
"country_code": "US",
"telephone_number": "512-892-7076",
"fax_number": "855-270-9668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1306 Kanawha Blvd E Bldg 2",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253013000",
"country_code": "US",
"telephone_number": "304-951-1588",
"fax_number": "304-343-9476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZEKAN",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "18831",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "68636",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "W4389",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME114130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "TN07Y",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300132457",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016906800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000026314",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0121589000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.