Individual provider Active NPI

Mozow Zuidema, M.D.

  • Cardiovascular Disease Physician
  • Columbia, MO
National Provider Identifier
1639376320
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2014007090 Issued in MO
Practice address
1605 E Broadway Ste 300
Columbia, MO 65201-8023
Phone
(573) 256-7700
Fax
(573) 256-3003
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2014007090 MO Primary
Internal Medicine Physician 207R00000X 2007018559 MO
Internal Medicine Physician 207R00000X 36763 WV
Cardiovascular Disease Physician 207RC0000X 36763 WV

Addresses

Primary practice location

1605 E Broadway Ste 300
Columbia, MO 65201-8023

Mailing address

1605 E Broadway Ste 300
Columbia, MO 65201-8023
Phone (573) 256-7700

Other practice location 1

176 Dawkins Dr
Lewisburg, WV 24901-9302
Phone (304) 793-2574

Other identifiers 1

IdentifierTypeStateIssuer
1639376320MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mozow.zuidema@mcs.direct.gemmsnet.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170711002649 MO Practitioner - Cardiovascular Disease (Cardiology) 4880963594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Missouri, Columbia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chas Physician Services LLCGroup PAC ID 7810038064, 25 clinicians

Practice addresses (Care Compare)

1605 E Broadway
Suite 300
Columbia, MO 65201-8023
Phone (573) 256-7700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007018559MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chas Physician Services LLC Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
Chas Physician Services, LLC CurrentSince Aug 1, 2017 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1605 E Broadway
Ste 300
Columbia, MO 65201
Phone (573) 256-7700

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 Christy Dr
Ste 201
Jefferson Cty, MO 65101
Phone (573) 635-0051

1705 Christy Dr
Jefferson Cty, MO 65101
Phone (573) 289-9619

404 Providence Rd
Macon, MO 63552
Phone (660) 395-8914

300 N Morley St
Moberly, MO 65270
Phone (660) 263-0909

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 8

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1639376320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY STE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-256-7700",
            "fax_number": "573-256-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY STE 300",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018023",
            "telephone_number": "573-256-7700",
            "fax_number": "573-256-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Dawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249019302",
            "country_code": "US",
            "telephone_number": "304-793-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUIDEMA",
        "first_name": "MOZOW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2014007090",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007018559",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "36763",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "36763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639376320",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mozow.zuidema@mcs.direct.gemmsnet.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging Address",
            "address_1": "1605 E Broadway Ste 300",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652018023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.