Individual provider Active NPI

Daniel Francis Zinicola, M.D.

  • General Practice Physician
  • Rocky Point, NC
National Provider Identifier
1811991219
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
32605 Issued in NC
Practice address
27 Commerce Dr
Rocky Point, NC 28457-7871
Phone
(910) 675-8089
Fax
(910) 675-8103
NPI assigned
Jun 13, 2005
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 32605 NC
General Practice Physician 208D00000X 32605 NC Primary

Addresses

Primary practice location

27 Commerce Dr
Rocky Point, NC 28457-7871

Mailing address

27 Commerce Drive
Rocky Point, NC 28457
Phone (910) 675-8089

Other identifiers 3

IdentifierTypeStateIssuer
211831FOtherNCMEDICARE
7989945MedicaidNC
89945OtherNCNC BLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100119000713 NC Practitioner - General Practice 4385731199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27 Commerce Dr
Rocky Point, NC 28457-7871
Phone (910) 675-8089

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32605NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wallace Urgent Care LLC Current Accepting new patients
Rocky Point Urgent Care LLC PastSince Apr 1, 2007 Accepting new patients

Locations

112 Medical Village Dr
Wallace, NC 28466
Phone (910) 285-7388

112 Medical Village Dr
Ste F
Wallace, NC 28466
Phone (910) 285-0333

Interoperability endpoints

  • Direct secure messaging: danielzinicola@dzpc.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1811991219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COMMERCE DRIVE",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "28457",
            "telephone_number": "910-675-8089",
            "fax_number": "910-675-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COMMERCE DR",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284577871",
            "telephone_number": "910-675-8089",
            "fax_number": "910-675-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINICOLA",
        "first_name": "DANIEL",
        "middle_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "32605",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "32605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "211831F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7989945",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS BLUE SHIELD",
            "identifier": "89945",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NC

Sources for this page

Verify at the official NPI Registry.