Individual provider Active NPI

Zachary Shai Rogozinski, M.D.

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1558896340
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
159800 Issued in FL
Practice address
3716 University Blvd S Ste 3
Jacksonville, FL 32216-4318
Phone
(904) 733-3529
NPI assigned
Apr 29, 2017
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 159800 FL Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 87489 SC

Addresses

Primary practice location

3716 University Blvd S Ste 3
Jacksonville, FL 32216-4318

Mailing address

3716 University Blvd S Ste 3
Jacksonville, FL 32216-4318
Phone (904) 733-3529

Other practice location 1

303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone (404) 265-4000

Other practice location 2

309 E 1st Ave
Easley, SC 29640-3040
Phone (864) 850-2663

Other identifiers 1

IdentifierTypeStateIssuer
874897MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230811003308 FL Practitioner - Orthopedic Surgery 6002299245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Florida State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogozinski Orthopedic Clinic PAGroup PAC ID 3274870035, 3 clinicians

Practice addresses (Care Compare)

3716 University Blvd S
Suite 3
Jacksonville, FL 32216-4318
Phone (904) 733-3529

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159800FLMDOrthopaedic Surgery Physician
87489SCMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rogozinski Orthopedic Clinic, P.a. Orthopaedic Surgery CurrentSince Sep 1, 2023 Accepting new patients

Locations

3716 University Blvd S
Ste 3
Jacksonville, FL 32216
Phone (904) 733-3529

Interoperability endpoints

  • Direct secure messaging: zrogozinski583907@direct.ghs.myhfn.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, 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": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1558896340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 UNIVERSITY BLVD S STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164318",
            "telephone_number": "904-733-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 UNIVERSITY BLVD S STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164318",
            "telephone_number": "904-733-3529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Parkway Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121212",
            "country_code": "US",
            "telephone_number": "404-265-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 E 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296403040",
            "country_code": "US",
            "telephone_number": "864-850-2663",
            "fax_number": "864-522-5785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGOZINSKI",
        "first_name": "ZACHARY",
        "middle_name": "SHAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-29",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "159800",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "SC",
            "license": "87489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874897",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.