NPIMap

Individual provider Active NPI

Michael K Zenni, MD

  • Urology Physician
  • Evansville, IN
National Provider Identifier
1790774404
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1054505A Issued in IN
Practice address
920 S Hebron Ave
Evansville, IN 47714-4086
Phone
(812) 473-1111
Fax
(812) 473-0911
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 1054505A IN Primary

Addresses

Primary practice location

920 S Hebron Ave
Evansville, IN 47714-4086

Mailing address

920 S Hebron Ave
Evansville, IN 47714-4086

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.zenni.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040610000662 IN Practitioner - Urology 8729061775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Vanderbilt University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

3700 Washington Ave
Evansville, IN 47714-0541

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

920 S Hebron Ave
Evansville, IN 47714-4086
Phone (812) 473-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1054505AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, LLC CurrentSince Dec 1, 2014 Accepting new patients
St Mary'S Medical Group, LLC CurrentSince Dec 1, 2014 Accepting new patients
Primary Physicians Network LLC Current Accepting new patients
Mercy Health - Clermont Hospital LLC Past Accepting new patients
Midwest Urology, Inc. Urology Past Accepting new patients

Locations

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

1400 Professional Blvd
Ste 210
Evansville, IN 47714

920 S Hebron Ave
Evansville, IN 47714
Phone 8124731111253

14020 Old State Rd
Ste C500
Evansville, IN 47725
Phone (812) 485-6030

920 S Hebron Ave
Ste 100
Evansville, IN 47714
Phone (812) 475-1159

421 7th St
Tell City, IN 47586
Phone (812) 547-7448

Organizations & group practices 5

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 11

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

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1790774404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S HEBRON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477144086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S HEBRON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477144086",
            "telephone_number": "812-473-1111",
            "fax_number": "812-473-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENNI",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "1054505A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.zenni.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "920 S Hebron Ave",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477144086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.