Active NPI
Audra Zimmer, MD
- Ophthalmology Physician
- West Burlington, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD-46310
- Practice address
- 1223 S Gear Ave Ste 309
West Burlington, IA 52655-1694 - Phone
- (319) 768-4500
- NPI assigned
- May 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD-46310 | IA | Primary |
Addresses
Primary practice location
1223 S Gear Ave Ste 309
West Burlington, IA 52655-1694
Mailing address
1223 S Gear Ave Ste 309
West Burlington, IA 52655-1694
Other practice location 1
1 Medical Center Blvd
Department of Medicine 3 East
Chester, PA 19013-3902
Phone (610) 874-6114
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | audra.zimmer@Direct.greatriverhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-46310 | IA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients |
Locations
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
1223 S Gear Ave
Ste 309
West Burlington, IA 52655
Phone (319) 752-1805
Interoperability endpoints
- audra.zimmer@direct.greatriverhealth.org
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.
-
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1558749275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 S GEAR AVE STE 309",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 S GEAR AVE STE 309",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551694",
"telephone_number": "319-768-4500"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Blvd",
"address_2": "Department of Medicine 3 East",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "PA",
"postal_code": "190133902",
"country_code": "US",
"telephone_number": "610-874-6114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMER",
"first_name": "AUDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-14",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "MD-46310",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "audra.zimmer@Direct.greatriverhealth.org",
"affiliation": "N",
"endpointDescription": "Great River Health Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ccda",
"address_1": "1223 S Gear Ave Ste 309",
"city": "West Burlington",
"state": "IA",
"country_code": "US",
"postal_code": "526551694",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.