Zenoun O Abouzelam, MD
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Appleton, WI
NPI 1699769695 · NPPES record last updated Nov 17, 2022
Key facts
- NPI
- 1699769695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 28312 (WI)
- Practice address
- 1506 S Oneida St
Appleton, WI 54915-1305 - Phone
- (920) 730-6700
- NPI assigned
- Sep 6, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Cardiac Surgery
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Medical Group-Fox Valley Wisconsin, Inc
Practice addresses (Care Compare)
1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000
Hospital & facility affiliations
- Ascension NE Wisconsin - St Elizabeth Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040414000562 | WI | Practitioner - Cardiac Surgery |
2668466327 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| MCHS Hospitals, Inc. | Current |
Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
2700 W 9th Ave
Ste 106
Oshkosh, WI 54904
Phone (414) 426-0265
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
620 W Brown St
Waupun, WI 53963
Phone (920) 324-5581
Interoperability endpoints
- zenoun.abouzelam@marshfieldclinichealthsystem.cernerdirect.com
- him@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 28312 | WI | Yes |
Addresses
Primary practice location
1506 S Oneida St
Appleton, WI 54915-1305
Mailing address
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 730-6700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31473600 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other |
Other providers in Appleton, WI
- Gregory Abbott
- Miranda Abbott
- Abc Transportation LLC
- Mohamed Hassan Abdelazim
- Abdoullah Aboulhassani
- Danielle Abraham
- Sarah A Abraham
- Access Valley Transport Inc
- Ace Chiropractic & Wellness SC
- Satish K Achanti
All providers in Appleton, WI · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.