Individual provider Active NPI

Mark Zeme, M. D.

  • Otolaryngology Physician
  • Castro Valley, CA
National Provider Identifier
1669400388
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G66448 Issued in CA
Practice address
20400 Lake Chabot Rd Ste 301
Castro Valley, CA 94546-5316
Phone
(510) 889-6673
Fax
(510) 889-0913
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G66448 CA Primary

Addresses

Primary practice location

20400 Lake Chabot Rd Ste 301
Castro Valley, CA 94546-5316

Mailing address

20400 Lake Chabot Rd Ste 301
Castro Valley, CA 94546-5316
Phone (510) 889-6673

Other identifiers 2

IdentifierTypeStateIssuer
00G664480MedicaidCA
040008496OtherCARAILROAD MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091012000127 CA Practitioner - Otolaryngology 8729124433 Practice locations: Castro Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20400 Lake Chabot Rd
Suite 301
Castro Valley, CA 94546-5316
Phone (510) 889-6673

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.25 of 100Reported as individual
Quality
35
Promoting interoperability
100
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66448CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Mark Zeme Otolaryngology PastSince Jan 1, 1990 Accepting new patients
St. Helena Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mzeme141890@hisp.ehr.sutterhealth.org

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 1

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1669400388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20400 LAKE CHABOT RD STE 301",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465316",
            "telephone_number": "510-889-6673",
            "fax_number": "510-889-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 LAKE CHABOT RD STE 301",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465316",
            "telephone_number": "510-889-6673",
            "fax_number": "510-889-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEME",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G66448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G664480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "040008496",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.