Individual provider Active NPI

Jonathan Zimmerman, MD

  • Internal Medicine Physician
  • Greenwich, CT
National Provider Identifier
1609856897
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79246 Issued in CT
Practice address
5 Perryridge Rd Dept of
Greenwich, CT 06830-4697
Phone
(734) 678-8367
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 79246 CT Primary

Addresses

Primary practice location

5 Perryridge Rd Dept of
Greenwich, CT 06830-4697

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040617001145 MI Practitioner - Internal Medicine 4486638269 Reassigns benefits to 1 organization
I20241018003099 CT Practitioner - Internal Medicine 4486638269 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79246CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Healthcare, Inc. CurrentSince Apr 1, 2014 Accepting new patients
Family Centers Inc CurrentSince Dec 10, 2024 Accepting new patients
Greenwich Hospital CurrentSince Oct 15, 2024 Accepting new patients
Oakwood Healthcare, Inc. Current Accepting new patients
Greenwich Hospital CurrentSince Oct 15, 2024 Accepting new patients
Family Centers Inc CurrentSince Dec 10, 2024 Accepting new patients
Oakwood Healthcare Inc CurrentSince Apr 1, 2014 Accepting new patients
Family Centers Inc. Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Family Centers Inc Past Accepting new patients

Locations

20 Bridge St
Greenwich, CT 06830
Phone (203) 629-2822

111 Wilbur Peck Ct
Greenwich, CT 06830
Phone (203) 717-1760

75 Holly Hill Ln
Ste 102
Greenwich, CT 06830
Phone (203) 717-1760

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

75 Holly Hill Ln
Greenwich, CT 06830
Phone (203) 661-3333

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

4900 Mercury Dr
Dearborn, MI 48126
Phone (313) 608-6667

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

23400 Michigan Ave
Ste 1205
Dearborn, MI 48124

4700 Schaefer Rd
Ste 240
Dearborn, MI 48126
Phone (313) 827-0480

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

Interoperability endpoints

  • Direct secure messaging: jzimmerman692361@direct.ynhh.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1609856897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PERRYRIDGE RD DEPT OF",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304697",
            "telephone_number": "734-678-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "79246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.