Individual provider Active NPI

Isidoro V Zambrano, MD

  • Orthopaedic Surgery Physician
  • Fort Atkinson, WI
National Provider Identifier
1598712663
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
48062-20 Issued in WI
Practice address
1504 Madison Ave
Fort Atkinson, WI 53538-3100
Phone
(920) 563-7888
Fax
(920) 563-7741
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 48062-20 WI Primary

Addresses

Primary practice location

1504 Madison Ave
Fort Atkinson, WI 53538-3100

Mailing address

1504 Madison Ave
Fort Atkinson, WI 53538-3100
Phone (920) 563-7888

Other identifiers 1

IdentifierTypeStateIssuer
34639300MedicaidWI

Other names 1

  • Roberto Zambrano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050723000120 WI Practitioner - Orthopedic Surgery 4284661083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

1504 Madison Ave
Fort Atkinson, WI 53538-3100
Phone (920) 563-7888

Hospital & facility affiliations

  • Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement32
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48062-20WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Healthcare Inc CurrentSince Sep 1, 2008 Accepting new patients
Fort Healthcare Inc Orthopaedic Surgery CurrentSince Sep 1, 2008 Accepting new patients
Fort Healthcare, Inc. Past Accepting new patients

Locations

704 Katie Ct
Cambridge, WI 53523
Phone (608) 423-1100

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366

1504 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 563-7888

200 E Tyranena Park Rd
Lake Mills, WI 53551
Phone (920) 648-3113

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: izambrano@direct.meditouchehr.com
  • Direct secure messaging: isidoro.zambrano@direct.forthc.com

Organizations & group practices 3

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 2

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598712663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 MADISON AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535383100",
            "telephone_number": "920-563-7888",
            "fax_number": "920-563-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 MADISON AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535383100",
            "telephone_number": "920-563-7888",
            "fax_number": "920-563-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANO",
        "first_name": "ISIDORO",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "48062-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34639300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "ZAMBRANO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Atkinson, WI

Sources for this page

Verify at the official NPI Registry.