NPIMap

Individual provider Active NPI

Kathleen Mary Zazzali, DO

  • Cardiovascular Disease Physician
  • Lewistown, PA
National Provider Identifier
1750522611
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS017279 Issued in PA
Practice address
400 Highland Ave
Cardiology Department
Lewistown, PA 17044
Phone
(717) 248-5411
NPI assigned
Mar 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AL4088604347 NY
Cardiovascular Disease Physician 207RC0000X 25MB08582200 NJ
Clinical Cardiac Electrophysiology Physician 207RC0001X OS017279 PA
Cardiovascular Disease Physician 207RC0000X OS017279 PA Primary

Addresses

Primary practice location

400 Highland Ave
Cardiology Department
Lewistown, PA 17044

Mailing address

100 North Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kzazzali119182@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20141027002111 PA Practitioner - Cardiovascular Disease (Cardiology) 4082862529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

129 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-3626

132 Abigail LN
Port Matilda, PA 16870-7153
Phone (814) 272-7100

141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322

143 Hospital Dr
State College, PA 16803-5500
Phone (814) 237-3470

155 Wellness Way
State College, PA 16803-6702

210 Medical Ctr Dr
Philipsburg, PA 16866-1948
Phone (814) 342-8020

3228 Cold Springs Rd
Huntingdon, PA 16652-2721
Phone (814) 643-6463

400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 363-9071

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL4088604347NYMDInternal Medicine Physician
OS017279PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Nov 1, 2014 Accepting new patients
Geisinger Clinic CurrentSince Nov 1, 2014 Accepting new patients
Mount Nittany Medical Center Health Services Inc Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
Cardiovascular Associates of the Delaware Valley,P a Cardiovascular Disease PastSince Sep 1, 2023 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

100 N Academy Ave
Danville, PA 17822

400 Highland Ave
Fl 4
Lewistown, PA 17044
Phone (717) 242-7099

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

27 Sandy Ln
Ste 140
Lewistown, PA 17044
Phone (717) 242-2711

132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

Interoperability endpoints

  • Direct secure messaging: kzazzali119182@direct.geisinger.edu

Organizations & group practices 6

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 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1750522611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND AVE",
            "address_2": "CARDIOLOGY DEPARTMENT",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "17044",
            "telephone_number": "717-248-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAZZALI",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "AL4088604347",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB08582200",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "OS017279",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS017279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kzazzali119182@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 Highland Ave",
            "address_2": "Cardiology Department",
            "city": "Lewistown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.