Active NPI
Michael D Zanolli, M.D.
- Dermatology Physician
- Nashville, TN
National Provider Identifier
1861431603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD14456
- Practice address
- 4230 Harding Pike Ste 501
Nashville, TN 37205-2018 - Phone
- (629) 255-2133
- Fax
- (629) 255-4099
- NPI assigned
- Jun 6, 2006
- Last updated
- Jan 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD14456 | TN | Primary |
Addresses
Primary practice location
4230 Harding Pike Ste 501
Nashville, TN 37205-2018
Mailing address
222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3069220 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14456 | TN | MD | Dermatology Physician |
| 14456 | TN | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt University | Dermatology | Past | Accepting new patients |
| Dermatology Consultants, PC | Past | Accepting new patients |
Interoperability endpoints
- michaelzanolli@hma.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Nashville, TN
- NPI 1376558171
-
dba Vanderbilt Medical Group
- Internal Medicine Physician
- Nashville, TN
- NPI 1235154972
Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1861431603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 22ND AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031852",
"telephone_number": "629-255-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 HARDING PIKE STE 501",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052018",
"telephone_number": "629-255-2133",
"fax_number": "629-255-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANOLLI",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "MD14456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3069220",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.