Individual provider Active NPI

John Zambos, MD

  • Surgery Physician
  • Titusville, FL
National Provider Identifier
1750508446
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0056144 Issued in FL
Practice address
605 N Washington Ave
Suite 200
Titusville, FL 32796-2107
Phone
(321) 383-2630
Fax
(321) 269-8313
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME0056144 FL Primary

Addresses

Primary practice location

605 N Washington Ave
Suite 200
Titusville, FL 32796-2107

Mailing address

605 N Washington Ave
Suite 200
Titusville, FL 32796-2107
Phone (321) 383-2630

Other identifiers 1

IdentifierTypeStateIssuer
035429500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070919000376 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 6709970908 Practice locations: Titusville, FL

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
West Virginia University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

605 N Washington Ave
Suite 200
Titusville, FL 32796-2152
Phone (321) 383-2630

Hospital & facility affiliations

  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)18
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056144FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miguel a Medina MD PA Past Accepting new patients

Organizations & group practices 1

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1750508446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N WASHINGTON AVE",
            "address_2": "SUITE 200",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962107",
            "telephone_number": "321-383-2630",
            "fax_number": "321-269-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N WASHINGTON AVE",
            "address_2": "SUITE 200",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962107",
            "telephone_number": "321-383-2630",
            "fax_number": "321-269-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBOS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0056144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035429500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.