Individual provider Active NPI

Aaron William Zabriskie, MD

  • Family Medicine Physician
  • Berryville, AR
National Provider Identifier
1881035244
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-12263 Issued in AR
Practice address
214 Carter St
Berryville, AR 72616-4303
Phone
(870) 423-3338
Fax
(870) 423-7330
NPI assigned
Jul 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML 60375624 WA
Family Medicine Physician 207Q00000X E-12263 AR Primary
Family Medicine Physician 207Q00000X MD175215 OR

Addresses

Primary practice location

214 Carter St
Berryville, AR 72616-4303

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (314) 543-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, CO2 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
I20190530001899 AR Practitioner - Family Practice 4880814193 Reassigns benefits to 5 organizations
I20260507000881 CO Practitioner - Family Practice 4880814193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML 60375624WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Berryville CurrentSince Jul 28, 2023 Accepting new patients
Siloam Springs Clinic Company LLC Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Northwest Benton County Physician Services LLC Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Northwest Physicians LLC CurrentSince Jun 1, 2019 Accepting new patients
Northwest Physicians LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

2158 Butterfield Coach Rd
Ste 100
Springdale, AR 72764
Phone (479) 757-5026

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1881035244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-543-6979",
            "fax_number": "314-364-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CARTER ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164303",
            "telephone_number": "870-423-3338",
            "fax_number": "870-423-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABRISKIE",
        "first_name": "AARON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML 60375624",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-12263",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD175215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, AR

Sources for this page

Verify at the official NPI Registry.