Individual provider Active NPI

Alexander Zilberman, M.D.

  • Surgery Physician
  • Cottonwood, AZ
National Provider Identifier
1871591503
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
31136 Issued in AZ
Practice address
340 S Willard St
Cottonwood, AZ 86326-4126
Phone
(928) 639-6025
Fax
(928) 649-7921
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 31136 AZ Primary
Specialist 174400000X 31136 AZ

Addresses

Primary practice location

340 S Willard St
Cottonwood, AZ 86326-4126

Mailing address

PO Box 8
Lake Havasu City, AZ 86405-0008
Phone (928) 854-6500

Other practice location 1

1810 Mesquite Ave
Suite B
Lake Havasu City, AZ 86403-5886
Phone (928) 854-6500

Other identifiers 4

IdentifierTypeStateIssuer
AZ0728500OtherAZAZ BC/BS PROVIDER NUMBER
AZ0735650OtherAZCHAMPUS TRICARE NUMBER
020054732OtherAZRAILROAD MEDICARE
753261MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20101008000371 AZ Practitioner - General Surgery 8426046137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Western Ontario Schulich School of Dentistry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy138
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)23
Upper gastrointestinal (GI) endoscopy for acid reflux72
Removal of tissue11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31136AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Healthcare Corporation Family Medicine CurrentSince Apr 15, 2019 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Apr 15, 2019 Accepting new patients

Locations

450 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-7991

199 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 282-3305

340 S Willard St
Cottonwood, AZ 86326
Phone (928) 634-5551

340 S Willard St
Ste 101
Cottonwood, AZ 86326
Phone (928) 639-2015

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

3700 W State Route 89A
Sedona, AZ 86336
Phone (928) 204-3000

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 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1871591503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864050008",
            "telephone_number": "928-854-6500",
            "fax_number": "928-854-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264126",
            "telephone_number": "928-639-6025",
            "fax_number": "928-649-7921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Mesquite Ave",
            "address_2": "SUITE B",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035886",
            "country_code": "US",
            "telephone_number": "928-854-6500",
            "fax_number": "928-854-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZILBERMAN",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "31136",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "31136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BC/BS PROVIDER NUMBER",
            "identifier": "AZ0728500",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE NUMBER",
            "identifier": "AZ0735650",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020054732",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "753261",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.