Active NPI
Adam Jacob Zucker, M.D.
- Interventional Cardiology Physician
- South Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 240220
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IM/CARDIOLOGY | Other | CO | 207R000000X |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Duke University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11700 Mercy Blvd
Savannah, GA 31419-1753
Phone (912) 927-3434
Hospital & facility affiliations
- St Joseph'S Hospital - Savannah
- Candler Hospital
- Wayne Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 27 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52680 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Cardiology Group, LLC | Cardiovascular Disease | Current | 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
- 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.
-
- Interventional Cardiology Physician
- Savannah, GA
- NPI 1619216058
Cardiovascular Disease
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.