Individual provider Active NPI

Craig M Zart, PAC

  • Surgical Physician Assistant
  • Kettering, OH
National Provider Identifier
1891047148
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.003651 Issued in OH
Practice address
3535 Southern Blvd
Kettering, OH 45429-1221
Phone
(937) 395-6010
Fax
(937) 395-8162
NPI assigned
Oct 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50.003651 OH Primary
Physician Assistant 363A00000X 50.003651 OH

Addresses

Primary practice location

3535 Southern Blvd
Kettering, OH 45429-1221

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3598
Phone (937) 384-4841

Other identifiers 1

IdentifierTypeStateIssuer
0085260MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address czart459802@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121026000617 OH Practitioner - Physician Assistant 9436309465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Associates of SW Ohio IncGroup PAC ID 9638258874, 59 clinicians
Cutting Edge Physical Therapy Limited PartnershipGroup PAC ID 6406869163, 109 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

1002 Rainbow CT
Fairborn, OH 45324-6365
Phone (800) 824-9861

2390 National Rd W
Richmond, IN 47374-4625

3535 Pentagon Blvd
Beavercreek, OH 45431-1705

3535 Pentagon Park Blvd
Suite 400
Dayton, OH 45431-1705
Phone (937) 490-2264

4160 Little York Rd
Suite 10
Dayton, OH 45414-5803
Phone (937) 415-9100

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

7677 Yankee St
Suite 110
Centerville, OH 45459-3475
Phone (937) 428-0400

Hospital & facility affiliations

  • Wayne Hospital Hospital, Greenville, OH, CCN 361335
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
73.21
Promoting interoperability
100
Improvement activities
40
Cost
76.12

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
83.43 of 100Reported as group
Quality
70.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.003651OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Oct 10, 2012 Accepting new patients
Orthopedic Associates of SW Ohio, Inc CurrentSince Jun 30, 2024 Accepting new patients
Alliance Physicians, Inc. CurrentSince Oct 10, 2012 Accepting new patients

Locations

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

7677 Yankee St
Ste 110
Dayton, OH 45459
Phone (937) 401-6400

6551 Centerville Business Pkwy
Ste 120
Dayton, OH 45459
Phone (937) 428-0400

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

4160 Little York Rd
Ste 10
Dayton, OH 45414
Phone 9374159100335

450 Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8376

1002 Rainbow Ct
Fairborn, OH 45324

732 Sweitzer St
Greenville, OH 45331
Phone (937) 316-8046

601 N B St
Ste 110
Hamilton, OH 45013

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

3533 Southern Blvd
Ste 2100
Kettering, OH 45429
Phone (937) 293-3486

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

2110 Leiter Rd
Miamisburg, OH 45342
Phone (937) 384-4838

300 3rd Ave
Sidney, OH 45365
Phone (937) 710-4786

2100 Emmanuel Way
Ste A
Springfield, OH 45502
Phone (937) 222-1831

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Organizations & group practices 5

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 3

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": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1891047148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LEITER RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423598",
            "telephone_number": "937-384-4841",
            "fax_number": "937-522-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BLVD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291221",
            "telephone_number": "937-395-6010",
            "fax_number": "937-395-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZART",
        "first_name": "CRAIG",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.003651",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003651",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085260",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "czart459802@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3535 Southern Blvd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3535 Southern Blvd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.