Individual provider Active NPI

Troy David Zimbelman, D.P.M.

  • Foot Surgery Podiatrist
  • Prattville, AL
National Provider Identifier
1568528396
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
182 Issued in AL
Practice address
660 McQueen Smith Rd. N
Suite F
Prattville, AL 36066-5582
Phone
(334) 358-8666
Fax
(334) 358-8667
NPI assigned
Dec 28, 2006
Last updated
May 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 182 AL Primary

Addresses

Primary practice location

660 McQueen Smith Rd. N
Suite F
Prattville, AL 36066-5582

Mailing address

660 McQueen Smith Rd. N
Suite F
Prattville, AL 36066-5582
Phone (334) 358-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080429000882 AL Practitioner - Podiatry 4082793203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

660 McQueen Smith Rd N
Suite F
Prattville, AL 36066-7559
Phone (334) 358-8666

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue16
Removal of nail tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
182ALMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Autauga Family Foot Care Clinic CurrentSince Nov 12, 2007 Accepting new patients
Southeastern Family Foot Care, LLC Foot Surgery CurrentSince Jan 14, 2013 Accepting new patients
Southeastern Family Foot Care, LLC Foot Surgery Current Accepting new patients
Chet J. Vahovius, DPM, PC Past Accepting new patients

Locations

805 E Lee St
Ste A
Enterprise, AL 36330
Phone (334) 393-5125

461 Cotton Gin Rd
Montgomery, AL 36117
Phone (334) 557-0900

660 McQueen Smith Rd N
Ste F
Prattville, AL 36066
Phone (334) 358-8666

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1568528396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MCQUEEN SMITH RD. N",
            "address_2": "SUITE F",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665582",
            "telephone_number": "334-358-8666",
            "fax_number": "334-358-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MCQUEEN SMITH RD. N",
            "address_2": "SUITE F",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665582",
            "telephone_number": "334-358-8666",
            "fax_number": "334-358-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMBELMAN",
        "first_name": "TROY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.