Active NPI
Megan Zak, MD
- Surgery Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10959474-1205
- Practice address
- 1250 E 3900 S Ste 460
Salt Lake City, UT 84124-1349 - Phone
- (801) 262-3564
- Fax
- (801) 262-3613
- NPI assigned
- Apr 17, 2017
- Last updated
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 10959474-1205 | UT | Primary |
| General Practice Physician | 208D00000X | 10959474-1205 | UT |
Addresses
Primary practice location
1250 E 3900 S Ste 460
Salt Lake City, UT 84124-1349
Mailing address
PO Box 100253
Atlanta, GA 30384-0253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of South Alabama College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3003 Tieton Dr
Suite 300
Yakima, WA 98902-3686
Phone (509) 575-3946
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10959474-1205 | UT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Signify Health, LLC | General Practice | Current | Accepting new patients |
| Yakima Valley Memorial Hospital Association | Past | Accepting new patients | |
| Mountainstar Cardiology St Marks LLC | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
3003 Tieton Dr
Ste 300
Yakima, WA 98902
Phone (509) 575-3946
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ef853cc1-94e4-4ed7-883a-9be7485e458e/
- mzak818840@direct.multicare.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
- Orthopaedic Surgery Physician
- Yakima, WA
- NPI 1154015592
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
-
dba Heart Center at St Mark's
- Interventional Cardiology Physician
- Salt Lake City, UT
- NPI 1437446168
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1891229837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100253",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E 3900 S STE 460",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241349",
"telephone_number": "801-262-3564",
"fax_number": "801-262-3613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAK",
"first_name": "MEGAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-17",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "10959474-1205",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "UT",
"license": "10959474-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.