Active NPI
Anthony R. Zappacosta, M.D.
- Nephrology Physician
- Bryn Mawr, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD011737E
- Practice address
- 830 Old Lancaster Rd
Suite 206
Bryn Mawr, PA 19010-3118 - Phone
- (610) 525-8110
- NPI assigned
- Jul 28, 2006
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD011737E | PA | Primary |
| Specialist | 174400000X | MD01173737E | PA |
Addresses
Primary practice location
830 Old Lancaster Rd
Suite 206
Bryn Mawr, PA 19010-3118
Mailing address
830 Old Lancaster Rd
Suite206
Bryn Mawr, PA 19010-3118
Phone (610) 525-8110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390006438 | Other | PA | TRVP |
| 001298600 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Nephrology
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
830 Old Lancaster Rd
Suite 206
Bryn Mawr, PA 19010-3118
Phone (610) 525-8110
Hospital & facility affiliations
- FKC Bryn Mawr
- DaVita Radnor Dialysis
- DaVita Upper Darby Dialysis
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD01173737E | PA | MD | Specialist |
| MD011737E | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryn Mawr Nephrology Assoc. LTD | Specialist | Current | Accepting new patients |
| Bryn Mawr Medical Specialists Association | Specialist | Past | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 206
Bryn Mawr, PA 19010
Phone (610) 525-8110
Organizations & group practices 2
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.
-
- Specialist
- Bryn Mawr, PA
- NPI 1093826547
-
- Multi-Specialty Clinic/Center
- Bryn Mawr, PA
- NPI 1841226099
Specialist
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- King of Prussia, PA
- NPI 1639131477
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Upper Darby, PA
- NPI 1316540388
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bryn Mawr, PA
- NPI 1205930088
Dialysis facility
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1801800479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 OLD LANCASTER RD",
"address_2": "SUITE206",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103118",
"telephone_number": "610-525-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 OLD LANCASTER RD",
"address_2": "SUITE 206",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103118",
"telephone_number": "610-525-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAPPACOSTA",
"first_name": "ANTHONY",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD011737E",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD01173737E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRVP",
"identifier": "390006438",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001298600",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.