NPIMap

Individual provider Active NPI

Ashwini Mysore Zenooz, MD

  • Diagnostic Radiology Physician
  • Palo Alto, CA
National Provider Identifier
1568446979
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
220357 Issued in MA
Practice address
806 Clara Dr
Palo Alto, CA 94303-3909
Phone
(650) 391-9705
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 220357 MA Primary

Addresses

Primary practice location

806 Clara Dr
Palo Alto, CA 94303-3909

Mailing address

806 Clara Dr
Palo Alto, CA 94303-3909
Phone (650) 391-9705

Other identifiers 3

IdentifierTypeStateIssuer
J27403OtherMABCBS MA
2064651MedicaidMA
469115OtherMATUFTS HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220357MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coolidge Corner Imaging, LLC Diagnostic Radiology Past Accepting new patients
Schatzki Associates Inc. Diagnostic Radiology Past Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology Past Accepting new patients
Boston University Medical Center Radiologists, Inc. Diagnostic Radiology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1568446979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 CLARA DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033909",
            "telephone_number": "650-391-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 CLARA DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033909",
            "telephone_number": "650-391-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENOOZ",
        "first_name": "ASHWINI",
        "middle_name": "MYSORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "220357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J27403",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064651",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "469115",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.