Individual provider Active NPI

Wendy E Zimmer, MD

  • Diagnostic Radiology Physician
  • Williamsville, NY
National Provider Identifier
1568420149
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
198865 Issued in NY
Practice address
199 Park Club LN Ste 300
Williamsville, NY 14221-5269
Phone
(716) 836-4646
Fax
(716) 836-4696
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME131480 FL
Diagnostic Radiology Physician 2085R0202X 198865 NY Primary

Addresses

Primary practice location

199 Park Club LN Ste 300
Williamsville, NY 14221-5269

Mailing address

199 Park Club LN Ste 300
Williamsville, NY 14221-5269
Phone (716) 836-4646

Other practice location 1

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Other practice location 2

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Other identifiers 15

IdentifierTypeStateIssuer
00020544503OtherUNIVERA
0142860OtherGHI
5607163OtherINDEPENDENT HEALTH
000523662007OtherBLUE SHIELD WNY
197246FFOtherPREFERRED CARE
P00080287OtherRR MEDICARE
00020544502OtherUNIVERA
000523662009OtherBLUE SHIELD WNY
01575617MedicaidNY
040426001964OtherFIDELIS
P010198865OtherBLUE CHOICE
P020198865OtherBLUE SHIELD ROCHESTER
1988658WOtherNYWORKERS COMPENSATION
4195244OtherGHI
P00051276OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, VT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070522000445 NY Practitioner - Diagnostic Radiology 8820195159 Reassigns benefits to 12 organizations
I20180529001567 FL Practitioner - Diagnostic Radiology 8820195159 Reassigns benefits to 1 organization
I20190313002847 VT Practitioner - Diagnostic Radiology 8820195159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Columbia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Steuben Radiology Associates IncGroup PAC ID 2961416946, 57 clinicians
Virtual Radiologic Professionals of New York PAGroup PAC ID 9335244169, 27 clinicians

Practice addresses (Care Compare)

Eden, NY 14057
Phone (570) 271-6144

Buffalo, NY 14222
Phone (904) 399-5550

32 Saint Catherines CT
Buffalo, NY 14222-1614
Phone (952) 595-1100

Hospital & facility affiliations

  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198865NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Jul 3, 2017 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Oct 15, 2022 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince Jun 10, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Rochester General Hospital CurrentSince Jul 3, 2017 Accepting new patients
Advanced Berkshire Medical Imaging, PC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Jan 26, 2019 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Geisinger Clinic Current Accepting new patients
Carlos G. Otis Health Care Center Inc. CurrentSince Oct 17, 2025 Accepting new patients
Rochester General Hospital Current Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Rochester General Hospital CurrentSince Jul 3, 2017 Accepting new patients
Olean Radiology, PC Diagnostic Radiology CurrentSince Oct 15, 2020 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Oct 15, 2022 Accepting new patients
Virtual Radiologic Professionals of New York, P.a. Diagnostic Radiology CurrentSince May 7, 2018 Accepting new patients
Carlos G Otis Health Care Center Inc CurrentSince Jan 26, 2019 Accepting new patients
Steuben Radiology Associates Inc Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Northtowns Imaging PC Diagnostic Radiology Past Accepting new patients
Advanced Digestive Care P a Past Accepting new patients
Northtowns Imaging PC Diagnostic Radiology Past Accepting new patients
Tulane University Medical Group Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology PastSince Jun 20, 2023 Accepting new patients
Lakeside Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 38)

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

1500 NW 10th Ave
Ste 103
Boca Raton, FL 33486
Phone (561) 368-2321

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131

1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

20997 Old Cutler Rd
Cutler Bay, FL 33189
Phone (786) 595-1780

1979 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 420-0100

16313 S Military Trl
Delray Beach, FL 33484
Phone (561) 637-7200

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

4525 Thomasson Dr
Naples, FL 34112
Phone (239) 348-4421

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: wzimmer43885@connecticutchildrens.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 6

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1568420149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-836-4646",
            "fax_number": "716-836-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-836-4646",
            "fax_number": "716-836-4696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Minnesota Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357915",
            "country_code": "US",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "WENDY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME131480",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "198865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020544503",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0142860",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "5607163",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WNY",
            "identifier": "000523662007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "197246FF",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00080287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020544502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WNY",
            "identifier": "000523662009",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01575617",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426001964",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010198865",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ROCHESTER",
            "identifier": "P020198865",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "1988658W",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4195244",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00051276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.