Individual provider Active NPI

Reilly Hendricks Zenk, DO

  • Diagnostic Radiology Physician
  • Lemoore, CA
National Provider Identifier
1821335407
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0102203877 Issued in VA
Practice address
937 Franklin Blvd
Lemoore, CA 93246-2111
Phone
(559) 998-2834
NPI assigned
Jan 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0102203877 VA Primary

Addresses

Primary practice location

937 Franklin Blvd
Lemoore, CA 93246-2111

Mailing address

1164 Caddie Loop
Lemoore, CA 93245-9070

Other practice location 1

7171 N Dale Mabry Hwy
Tampa, FL 33614-2665
Phone (317) 614-9804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221104001279 FL Practitioner - Diagnostic Radiology 5193192136 Reassigns benefits to 1 organization
I20250107001864 WI Practitioner - Diagnostic Radiology 5193192136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

Pleasant Prairie, WI 53158
Phone (813) 929-5451

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102203877VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince May 1, 2025 Accepting new patients

Locations

9441 Health Center Dr
Land O Lakes, FL 34637
Phone (813) 903-3700

7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rzenk1074554@adventhealth.direct-ci.com

Organizations & group practices 1

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 6

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": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1821335407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 CADDIE LOOP",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932459070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 FRANKLIN BLVD",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932462111",
            "telephone_number": "559-998-2834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7171 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142665",
            "country_code": "US",
            "telephone_number": "317-614-9804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZENK",
        "first_name": "REILLY",
        "middle_name": "HENDRICKS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102203877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoore, CA

Sources for this page

Verify at the official NPI Registry.