Individual provider Active NPI

Jan Paul Zincke

  • Specialist
  • Bowie, MD
National Provider Identifier
1497860704
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD034750 Issued in DC
Practice address
4831 Telsa Dr
Suite F
Bowie, MD 20715-4323
Phone
(240) 737-0080
Fax
(301) 262-7530
NPI assigned
Aug 20, 2006
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD034750 DC Primary

Addresses

Primary practice location

4831 Telsa Dr
Suite F
Bowie, MD 20715-4323

Mailing address

5530 Wisconsin Ave
Suite 820
Chevy Chase, MD 20815-4404
Phone (301) 654-2521

Other identifiers 1

IdentifierTypeStateIssuer
MD034750OtherDCMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20070306000158 DC Practitioner - Pathology 8426151879 Reassigns benefits to 1 organization
I20221125000317 MD Practitioner - Pathology 8426151879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

11921 Bournefield Way
Suite 100
Silver Spring, MD 20904-7815
Phone (240) 737-0080

2021 K St NW
Suite T 110 Metroploitan Gastroenterology
Washington, DC 20061-1036
Phone (202) 296-3449

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD034750DCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Washington DC LP Current Accepting new patients
Capital Digestive Care LLC CurrentSince Sep 1, 2008 Accepting new patients
Capital Digestive Care, LLC CurrentSince Sep 1, 2008 Accepting new patients
Peninsula Regional Medical Center CurrentSince Aug 13, 2022 Accepting new patients
Jeffrey H. Baybick, MD PC Past Accepting new patients
First Class Anesthesia, LLC Past Accepting new patients
David a. Morowitz Past Accepting new patients

Locations

5550 Friendship Blvd
Ste T90
Chevy Chase, MD 20815
Phone (301) 654-2521

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

10770 Columbia Pike
Ste 400
Silver Spring, MD 20901
Phone (215) 589-9012

11921 Bournefield Way
Ste 100
Silver Spring, MD 20904
Phone (240) 737-0080

12510 Prosperity Dr
Ste 200
Silver Spring, MD 20904
Phone (240) 485-5200

Organizations & group practices 7

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1497860704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE 820",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-654-2521",
            "fax_number": "301-654-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 TELSA DR",
            "address_2": "SUITE F",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154323",
            "telephone_number": "240-737-0080",
            "fax_number": "301-262-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINCKE",
        "first_name": "JAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD034750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD034750",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.