NPIMap

Individual provider Active NPI

Wisam F Zakko, M.D

  • Gastroenterology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1730291006
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME71331 Issued in FL
Practice address
2021 E Commercial Blvd
Suite 202
Fort Lauderdale, FL 33308-3763
Phone
(954) 202-7850
Fax
(954) 202-7781
NPI assigned
Aug 31, 2006
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME71331 FL Primary

Addresses

Primary practice location

2021 E Commercial Blvd
Suite 202
Fort Lauderdale, FL 33308-3763

Mailing address

1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 202-7850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080709000549 FL Practitioner - Gastroenterology 8628976149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coral Ridge Gastroenterology Associates LLCGroup PAC ID 1658443650, 9 clinicians

Practice addresses (Care Compare)

5301 N Dixie Hwy
Suite 202
Oakland Park, FL 33334-3447
Phone (954) 771-9920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy307
Upper gastrointestinal (GI) endoscopy for acid reflux225

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Ridge Gastroenterology Associates LLC Gastroenterology CurrentSince Oct 1, 2007 Accepting new patients
Gastroenterology Assoc PA Specialist Past Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation PastSince Jan 1, 2004 Accepting new patients
Gastroenterology Institute of Fort Lauderdale Specialist PastSince Dec 31, 2001 Accepting new patients

Locations

2021 E Commercial Blvd
Ste 202
Ft Lauderdale, FL 33308
Phone (954) 202-7850

5301 N Dixie Hwy
Ste 202
Oakland Park, FL 33334
Phone (954) 202-7850

Interoperability endpoints

  • Direct secure messaging: wisamzakko@gastroi.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1730291006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-202-7850",
            "fax_number": "954-202-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E COMMERCIAL BLVD",
            "address_2": "SUITE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083763",
            "telephone_number": "954-202-7850",
            "fax_number": "954-202-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKKO",
        "first_name": "WISAM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME71331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.