Individual provider Active NPI

Steven Zeller, M.D.

  • Family Medicine Physician
  • Russellville, KY
National Provider Identifier
1689967259
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46370 Issued in KY
Practice address
1497 Nashville St
Russellville, KY 42276
Phone
(270) 726-9568
Fax
(270) 726-9570
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46370 KY Primary

Addresses

Primary practice location

1497 Nashville St
Russellville, KY 42276

Mailing address

480 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-5777

Other identifiers 1

IdentifierTypeStateIssuer
7100218010MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130321000637 KY Practitioner - Family Practice 9133364128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1497 Nashville St
Russellville, KY 42276-8850
Phone (270) 726-9568

480 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-5777

504 Hopkinsville St
Greenville, KY 42345-1104
Phone (270) 338-6488

Hospital & facility affiliations

  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • The Medical Center at Russellville Hospital, Russellville, KY, CCN 180066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46370KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Western Kentucky, Inc. CurrentSince Jun 29, 2015 Accepting new patients
Community Health Centers of Western Kentucky, Inc. CurrentSince Jun 29, 2015 Accepting new patients
Community Health Centers of Western Kentucky Inc Family Medicine Past Accepting new patients

Locations

480 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-5777

1497 Nashville St
Russellville, KY 42276
Phone (270) 726-1266

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1689967259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451124",
            "telephone_number": "270-338-5777",
            "fax_number": "270-338-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 NASHVILLE ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "42276",
            "telephone_number": "270-726-9568",
            "fax_number": "270-726-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "46370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100218010",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, KY

Sources for this page

Verify at the official NPI Registry.