NPIMap

Individual provider Active NPI

Brent E Zastrow, D.P.M.

  • Podiatrist
  • Wausau, WI
National Provider Identifier
1780663377
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1033-25 Issued in WI
Practice address
1445 Merrill Ave
Wausau, WI 54401-2646
Phone
(715) 675-2321
Fax
(715) 675-6530
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1033-25 WI Primary

Addresses

Primary practice location

1445 Merrill Ave
Wausau, WI 54401-2646

Mailing address

1445 Merrill Ave
Wausau, WI 54401-2646
Phone (715) 675-2321

Other identifiers 1

IdentifierTypeStateIssuer
1209098MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20131111001347 WI Practitioner - Podiatry 8729042080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

2215 Progress Blvd
Antigo, WI 54409-2480
Phone (715) 623-2351

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

503 S Ctr Ave
Merrill, WI 54452-3467
Phone (715) 675-2321

601 S Ctr Ave
Merrill, WI 54452-3404
Phone (715) 847-2611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
90.06
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
84.08
Promoting interoperability
100
Improvement activities
40
Cost
64.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions18
Removal of nail tissue30
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1033-25WIMDPodiatrist
1033WIMDSpeech-Language Pathologist
00716IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. Podiatrist CurrentSince Oct 1, 2013 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Oct 1, 2013 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jan 31, 2022 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jan 31, 2022 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Quality Surgicenter LLC Past Accepting new patients
Ahmed Elahmady PC Past Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

3200 Westhill Dr
Ste 2200
Wausau, WI 54401
Phone (715) 675-2321

1445 Merrill Ave
Wausau, WI 54401
Phone (715) 675-2321

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Interoperability endpoints

  • Direct secure messaging: bzastrow64458@direct.aspirus.org

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1780663377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 MERRILL AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012646",
            "telephone_number": "715-675-2321",
            "fax_number": "715-675-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 MERRILL AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012646",
            "telephone_number": "715-675-2321",
            "fax_number": "715-675-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASTROW",
        "first_name": "BRENT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1033-25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1209098",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.