Kelly Joseph Zach, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

29166 Issued in NE

Practice address

7121 Stephanie LN
Ste 102
Lincoln, NE 68516-5359

Phone

(402) 413-5010

Fax

(402) 413-5009

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Pain Management

Education

Nebraska College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Pain and Spine SpecialistsGroup PAC ID 6406146083, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
• CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
• Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
• Memorial Health Care Systems Hospital, Seward, NE, CCN 281339

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.zach@ipss.eclinicaldirectplus.com

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.

• Innovative Pain & Spine Specialists

  • Interventional Pain Medicine Physician
  • Lincoln, NE
  • NPI 1245692581
  Medicare reassignment Care Compare group NPD
• Innovative Pain & Spine Specialists

  • Community/Retail Pharmacy
  • Lincoln, NE
  • NPI 1083128250
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alegent Creighton Health

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1649355132
  Care Compare affiliation
• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  Care Compare affiliation
• Bryan Medical Center

  • Clinical Medical Laboratory
  • Lincoln, NE
  • NPI 1689203077

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  Hospital

  Care Compare affiliation
• Memorial Health Care Systems

  • Critical Access Hospital
  • Seward, NE
  • NPI 1770662512
  Care Compare affiliation
• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1871889287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 STEPHANIE LN",
            "address_2": "STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165359",
            "telephone_number": "402-413-5010",
            "fax_number": "402-413-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 STEPHANIE LN",
            "address_2": "STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165359",
            "telephone_number": "402-413-5010",
            "fax_number": "402-413-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACH",
        "first_name": "KELLY",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R72483",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NE",
            "license": "29166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R72483",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles James Zabokrtsky I, LMT
• Cody Shea Zabokrtsky, RN
• Amara Taye Zach, PLMHP
• Andrea Zach
• Jessica Zach, PLMHP
• Molly Zach
• Deanna Zachary
• Zackery Zade, DPT
• Abas Zaghla
• Usman Zahid, DMD

• Interventional Pain Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Interventional Pain Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.