Individual provider Active NPI

Sara Zimmer, MD

  • General Practice Physician
  • Camp Lejeune, NC
National Provider Identifier
1568548139
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
42807-020 Issued in WI
Practice address
100 Brewster Blvd
Naval Hospital, Camp Lejeune
Camp Lejeune, NC 28547-2538
Phone
(910) 450-4159
Fax
(910) 450-4194
NPI assigned
Oct 27, 2006
Last updated
Sep 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 42807-020 WI Primary

Addresses

Primary practice location

100 Brewster Blvd
Naval Hospital, Camp Lejeune
Camp Lejeune, NC 28547-2538

Mailing address

100 Brewster Blvd
Naval Hospital, Camp Lejeune
Camp Lejeune, NC 28547-2538
Phone (910) 450-4159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240404000030 NY Practitioner - Pathology 8729223524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva General Hospital, IncGroup PAC ID 7810809407, 88 clinicians

Practice addresses (Care Compare)

196 N St
Geneva, NY 14456-1651
Phone (315) 787-5355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42807-020WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Geneva General Hospital, Inc CurrentSince Mar 1, 2024 Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
Geneva General Hospital CurrentSince Mar 1, 2024 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients

Locations

196 North St
Geneva, NY 14456
Phone (315) 787-4156

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

Organizations & group practices 6

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 4

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1568548139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "address_2": "NAVAL HOSPITAL, CAMP LEJEUNE",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "910-450-4159",
            "fax_number": "910-450-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "address_2": "NAVAL HOSPITAL, CAMP LEJEUNE",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "910-450-4159",
            "fax_number": "910-450-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "42807-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

Verify at the official NPI Registry.