Individual provider Active NPI

Gregory M Zawada, M.D.

  • Internal Medicine Physician
  • Sherwood, AR
National Provider Identifier
1891704763
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-4895 Issued in AR
Practice address
2215 Wildwood Ave
Suite 204
Sherwood, AR 72120-5089
Phone
(501) 753-2424
Fax
(501) 753-2733
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-4895 AR Primary

Addresses

Primary practice location

2215 Wildwood Ave
Suite 204
Sherwood, AR 72120-5089

Mailing address

PO Box 241125
Little Rock, AR 72223-0003
Phone (501) 765-5655

Other practice location 1

3333 Springhill Dr
North Little Rock, AR 72117-2922
Phone (501) 202-3000

Other practice location 2

9601 Baptist Health Dr
Little Rock, AR 72205-6321
Phone (501) 202-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20081202000019 AR Practitioner - Infectious Disease 4981765518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Arkansas College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3401 Springhill Dr
Suite 240
North Little Rock, AR 72117-2926
Phone (501) 900-6318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.6 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4895ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greg M. Zawada, MD PLLC CurrentSince Dec 2, 2008 Accepting new patients
Blue Sea Medical Corporation Internal Medicine PastSince Nov 17, 2019 Accepting new patients

Locations

3401 Springhill Dr
Ste 240
North Little Rock, AR 72117
Phone (501) 753-4593

2215 Wildwood Ave
Ste 204
Sherwood, AR 72120
Phone (501) 753-2424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAADCD/Endpoint/HAADCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1891704763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241125",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230003",
            "telephone_number": "501-765-5655",
            "fax_number": "501-313-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "address_2": "SUITE 204",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-753-2424",
            "fax_number": "501-753-2733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Springhill Dr",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172922",
            "country_code": "US",
            "telephone_number": "501-202-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9601 Baptist Health Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056321",
            "country_code": "US",
            "telephone_number": "501-202-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAWADA",
        "first_name": "GREGORY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-4895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

Verify at the official NPI Registry.