Active NPI
Domenic A Zambuto, MD
- Vascular & Interventional Radiology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- ME158436
- Practice address
- 3810 Northdale Blvd Ste 150
Tampa, FL 33624-1871 - Phone
- (813) 683-4784
- Fax
- (888) 812-8191
- NPI assigned
- Dec 20, 2005
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | ME158436 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | U1791 | TX | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 67934 | AZ | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 036.126576 | IL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 323885 | NY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | DR.0069421 | CO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 77011 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 25MA09461600 | NJ | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME158436 | FL | Primary |
Addresses
Primary practice location
3810 Northdale Blvd Ste 150
Tampa, FL 33624-1871
Mailing address
3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, FL, GA, AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Harvard Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3657 Madaca LN
Tampa, FL 33618-2048
Phone (800) 991-6117
371 E Paces Ferry Rd NE
Suite 630
Atlanta, GA 30305-2372
Phone (800) 991-6117
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME158436 | FL | MD | Phlebology Physician |
| DR.0069421 | CO | MD | Vascular & Interventional Radiology Physician |
| 036.126576 | IL | MD | Vascular & Interventional Radiology Physician |
| 323885 | NY | MD | Vascular & Interventional Radiology Physician |
| U1791 | TX | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wazni, PLLC | Current | Accepting new patients | |
| Arizona Uvc Medical PLLC | Current | Accepting new patients | |
| Texas Uvc Medical PLLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Georgia Uvc Medical LLC | Phlebology | Current | Accepting new patients |
| Wilton Vascular Medical Group PC | Past | Accepting new patients | |
| Pennsylvania Phlebology Group PC | Phlebology | Past | Accepting new patients |
| Valley Physician Services PC | Past | Accepting new patients | |
| Tolland Imaging Center, LLC | Past | Accepting new patients | |
| Colorado Medical Group, PLLC | Family Medicine | Past | Accepting new patients |
Locations (25 of 27)
655 S Dobson Rd
Ste 216
Chandler, AZ 85224
Phone (480) 899-5530
13555 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (602) 406-0630
1010 E McDowell Rd
Ste 103
Phoenix, AZ 85006
Phone (602) 254-4424
1900 Glades Rd
Ste 100
Boca Raton, FL 33431
Phone (561) 416-1145
18167 US Highway 19 N
Ste 100
Clearwater, FL 33764
Phone (727) 233-4177
2290 10th Ave N
Ste 101
Lake Worth, FL 33461
Phone (561) 450-2703
3003 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 687-8990
4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918
4215 Burns Rd
Ste 260
Palm Beach Gardens, FL 33410
295 NW Peacock Blvd
Port St Lucie, FL 34986
3810 Northdale Blvd
Ste 260
Tampa, FL 33624
3657 Madaca Ln
Tampa, FL 33618
3820 Northdale Blvd
Ste 201
Tampa, FL 33624
3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784
3609 Madaca Ln
Tampa, FL 33618
Phone (720) 253-3071
8029 Cooper Creek Blvd
Ste 104
University Park, FL 34201
16553 S US Highway 301
Wimauma, FL 33598
371 E Paces Ferry Rd NE
Ste 630
Atlanta, GA 30305
3805 Crestwood Pkwy NW
Ste 350
Duluth, GA 30096
3525 Busbee Dr NW
Ste 101
Kennesaw, GA 30144
635 Madison Ave
Fl 1400
New York, NY 10022
Phone (212) 634-4233
635 Medical Pkwy
Brenham, TX 77833
Phone (979) 830-1444
5801 Oakbend Trl
Fort Worth, TX 76132
Phone (817) 361-1420
5801 Oakbend Trl
Ste 180
Ft Worth, TX 76132
Phone (817) 370-9010
1631 Lancaster Dr
Ste 200
Grapevine, TX 76051
Phone (817) 329-5433
Organizations & group practices 11
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.
-
dba United Vein & Vascular Centers
- Vascular Surgery Physician
- Atlanta, GA
- NPI 1619681244
Phlebology
-
dba United Vein & Vascular Centers
- Vascular Surgery Physician
- Phoenix, AZ
- NPI 1548800980
-
dba United Vein & Vascular Centers
- Surgery Physician
- Fort Worth, TX
- NPI 1447023528
Vascular & Interventional Radiology
-
dba United Vein & Vascular Centers
- Vascular Surgery Physician
- Rego Park, NY
- NPI 1265121693
-
dba United Vein & Vascular Centers
- Vascular Surgery Physician
- Secaucus, NJ
- NPI 1740968742
-
dba United Vein & Vascular Centers
- Vascular Surgery Physician
- Fort Collins, CO
- NPI 1356714638
Family Medicine
-
- Diagnostic Radiology Physician
- Tolland, CT
- NPI 1841470820
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
- Vascular Surgery Physician
- Wilton, CT
- NPI 1275184350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739577600000",
"number": "1669458766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 NORTHDALE BLVD STE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241893",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 NORTHDALE BLVD STE 150",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241871",
"telephone_number": "813-683-4784",
"fax_number": "888-812-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMBUTO",
"first_name": "DOMENIC",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2025-02-15",
"certification_date": "2025-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "FL",
"license": "ME158436",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "U1791",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AZ",
"license": "67934",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036.126576",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "323885",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CO",
"license": "DR.0069421",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "77011",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NJ",
"license": "25MA09461600",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME158436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.