Individual provider Active NPI

Andrew Richard Zaager, M.D.

  • Internal Medicine Physician
  • Plainview, NY
National Provider Identifier
1770519977
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
155654 Issued in NY
Practice address
630 Old Country Rd
Plainview, NY 11803-4909
Phone
(516) 937-1121
Fax
(516) 937-1126
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2019-00955 NC
Internal Medicine Physician 207R00000X 83125 SC
Internal Medicine Physician 207R00000X S4251 TX
Internal Medicine Physician 207R00000X 155654 NY Primary
Internal Medicine Physician 207R00000X E-12049 AR
Internal Medicine Physician 207R00000X 82305 GA

Addresses

Primary practice location

630 Old Country Rd
Plainview, NY 11803-4909

Mailing address

630 Old Country Rd
Plainview, NY 11803-4909
Phone (516) 937-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051027000417 NY Practitioner - Internal Medicine 3678590882 Reassigns benefits to 1 organization
Practice locations: Plainview, NY
I20250123001805 AR Practitioner - Internal Medicine 3678590882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

300 Spring Building
Suite 900
Little Rock, AR 72201-2425
Phone (800) 997-6196

80 State St
Albany, NY 12207-2541
Phone (800) 997-6196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12049ARMDInternal Medicine Physician
82305GAMDInternal Medicine Physician
2019-00955NCMDInternal Medicine Physician
155654NYMDInternal Medicine Physician
S4251TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Sep 26, 2023 Accepting new patients

Locations

300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

80 State St
Albany, NY 12207
Phone (415) 742-8411

Interoperability endpoints

  • Direct secure messaging: andrew.zaager.1@30520.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1770519977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034909",
            "telephone_number": "516-937-1121",
            "fax_number": "516-937-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034909",
            "telephone_number": "516-937-1121",
            "fax_number": "516-937-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAAGER",
        "first_name": "ANDREW",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2019-00955",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "83125",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S4251",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "155654",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-12049",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "82305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.