Active NPI
Zachary Paul Zabriskie, MD
- Pediatric Cardiology Physician
- Salt Lake City, UT
National Provider Identifier
1770043390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 13896242-1205
- Practice address
- 81 Mario Capecchi Dr RM 4E217
Salt Lake City, UT 84112-0005 - Phone
- (801) 581-2121
- NPI assigned
- Mar 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | D94055 | MD | |
| Pediatric Cardiology Physician | 2080P0202X | 13896242-1205 | UT | Primary |
Addresses
Primary practice location
81 Mario Capecchi Dr RM 4E217
Salt Lake City, UT 84112-0005
Mailing address
81 Mario Capecchi Dr RM 4E217
Salt Lake City, UT 84112-0005
Phone (801) 581-2121
Other practice location 1
600 North Wolfe Street
Baltimore, MD 21287
Phone (410) 955-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D94055 | Other | MD | MD MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240724004262 | UT | Order and Referring Only - Pediatric Medicine | 0648505982 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13896242-1205 | UT | MD | Pediatric Cardiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1770043390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 MARIO CAPECCHI DR RM 4E217",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841120005",
"telephone_number": "801-581-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 MARIO CAPECCHI DR RM 4E217",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841120005",
"telephone_number": "801-581-2121"
}
],
"practiceLocations": [
{
"address_1": "600 North Wolfe Street",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "21287",
"country_code": "US",
"telephone_number": "410-955-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZABRISKIE",
"first_name": "ZACHARY",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2024-04-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "MD",
"license": "D94055",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "UT",
"license": "13896242-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD MEDICAID",
"identifier": "D94055",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.