Individual provider Active NPI

Anthony R. Zappacosta, M.D.

  • Nephrology Physician
  • Bryn Mawr, PA
National Provider Identifier
1801800479
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD011737E Issued in PA
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

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
390006438OtherPATRVP
001298600MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000762 PA Practitioner - Nephrology 8628033669 Reassigns benefits to 1 organization

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 Dialysis facility, Bryn Mawr, PA, CCN 392575
  • DaVita Radnor Dialysis Dialysis facility, King of Prussia, PA, CCN 392630
  • DaVita Upper Darby Dialysis Dialysis facility, Upper Darby, PA, CCN 732500
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD01173737EPAMDSpecialist
MD011737EPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn Mawr Nephrology Assoc. LTD Specialist CurrentSince Dec 4, 1978 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.