Individual provider Active NPI

Erik Otto Zimmermann, DPM

  • Podiatrist
  • Leesburg, FL
National Provider Identifier
1538256334
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2802 Issued in FL
Practice address
1208 W Dixie Ave
Leesburg, FL 34748-6314
Phone
(352) 435-7849
Fax
(352) 435-7904
NPI assigned
Oct 5, 2006
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2802 FL Primary

Addresses

Primary practice location

1208 W Dixie Ave
Leesburg, FL 34748-6314

Mailing address

PO Box 178
Sumterville, FL 33585-0178
Phone (352) 435-7849

Other identifiers 1

IdentifierTypeStateIssuer
35640OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040618000793 FL Practitioner - Podiatry 2062497712 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Wildwood, FL; Webster, FL; Lady Lake, FL; The Villages, FL; Tavares, FL; Leesburg, FL; Fruitland Park, FL; Bushnell, FL
O20100930049047 FL DME Supplier - Physician - PodiatryDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Prosthetic Personnel 7618089665 Practice locations: Leesburg, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1208 W Dixie Ave
Leesburg, FL 34748-6314
Phone (352) 435-7849

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue74
Removal of skin lesions15
Removal of nail tissue1757
Removal or shaving of skin growth552
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erik O Zimmermann DPM PA Podiatrist CurrentSince Mar 16, 2024 Accepting new patients
Heidis Haven LLC Past Accepting new patients
Lubis Enterprise LLC PastSince May 17, 2020 Accepting new patients
Heidis Haven LLC Past Accepting new patients
Lubis Enterprise LLC PastSince May 17, 2020 Accepting new patients

Locations

1208 W Dixie Ave
Leesburg, FL 34748
Phone (352) 435-7849

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1538256334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "SUMTERVILLE",
            "state": "FL",
            "postal_code": "335850178",
            "telephone_number": "352-435-7849",
            "fax_number": "352-435-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486314",
            "telephone_number": "352-435-7849",
            "fax_number": "352-435-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "ERIK",
        "middle_name": "OTTO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35640",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.