Active NPI
Zachary Benjamin Koloff, MD
- Urology Physician
- Stoneham, MA
National Provider Identifier
1770996175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 279101
- Practice address
- 3 Woodland Rd Ste 216
Stoneham, MA 02180 - Phone
- (781) 979-0661
- NPI assigned
- Jun 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 279101 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301105086 | MI |
Addresses
Primary practice location
3 Woodland Rd Ste 216
Stoneham, MA 02180
Mailing address
3 Woodland Rd Ste 216
Stoneham, MA 02180-1711
Phone (781) 979-0661
Other practice location 1
1500 Medical Ctr Dr
3875 Taubman Ctr, SPC 5330
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Michigan Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279101 | MA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Physician Associates, Inc | Single Specialty | Current | Accepting new patients |
| Beth Israel Lahey Health Specialty Care, Inc. | Single Specialty | Current | Accepting new patients |
| Stoneham Medical Group LLC | Single Specialty | Past | Accepting new patients |
| Winchester Physician Associates | Past | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
203 Main St
North Reading, MA 01864
Phone (978) 664-1990
800 W Cummings Park
Ste 6550
Woburn, MA 01801
Phone (781) 979-0661
Interoperability endpoints
- zkoloff127455@direct.bilh.masshiway.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
Single Specialty
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1184606865
Single Specialty
-
- Internal Medicine Physician
- North Reading, MA
- NPI 1215919931
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1770996175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WOODLAND RD STE 216",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021801711",
"telephone_number": "781-979-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WOODLAND RD STE 216",
"city": "STONEHAM",
"state": "MA",
"postal_code": "02180",
"telephone_number": "781-979-0661"
}
],
"practiceLocations": [
{
"address_1": "1500 Medical Ctr Dr",
"address_2": "3875 Taubman Ctr, SPC 5330",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095000",
"country_code": "US",
"telephone_number": "734-936-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLOFF",
"first_name": "ZACHARY",
"middle_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-04",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "MA",
"license": "279101",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301105086",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.