Individual provider Active NPI

Adam Jacob Zucker, M.D.

  • Interventional Cardiology Physician
  • South Weymouth, MA
National Provider Identifier
1588823645
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
240220 Issued in MA
Practice address
541 Main St 400
South Weymouth, MA 02190-1889
Phone
(781) 952-1240
Fax
(781) 826-8043
NPI assigned
Jun 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 52680 CO
Interventional Cardiology Physician 207RI0011X 240220 MA Primary

Addresses

Primary practice location

541 Main St 400
South Weymouth, MA 02190-1889

Mailing address

77 Accord Park Dr D4
Norwell, MA 02061-1652
Phone (781) 952-1526

Other identifiers 1

IdentifierTypeStateIssuer
IM/CARDIOLOGYOtherCO207R000000X

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240103001542 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1456489046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Duke University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph'S Cardiology Group LLCGroup PAC ID 3274770227, 17 clinicians

Practice addresses (Care Compare)

11700 Mercy Blvd
Savannah, GA 31419-1753
Phone (912) 927-3434

Hospital & facility affiliations

  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Candler Hospital Hospital, Savannah, GA, CCN 110024
  • Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52680COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Cardiology Group, LLC Cardiovascular Disease CurrentSince Jan 1, 2024 Accepting new patients

Locations

11700 Mercy Blvd
Ste 1B
Savannah, GA 31419
Phone (912) 819-7878

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878

11700 Mercy Blvd
Ste 6
Savannah, GA 31419
Phone (912) 961-8647

Interoperability endpoints

  • Direct secure messaging: adamzucker@cas.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1588823645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ACCORD PARK DR D4",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611652",
            "telephone_number": "781-952-1526",
            "fax_number": "781-878-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST 400",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901889",
            "telephone_number": "781-952-1240",
            "fax_number": "781-826-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKER",
        "first_name": "ADAM",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "52680",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "240220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "207R000000X",
            "identifier": "IM/CARDIOLOGY",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

Verify at the official NPI Registry.