Sophia M Zinkovsky, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04-28830 Issued in KS

Practice address

144 S Hillside St
Wichita, KS 67211-2154

Phone

(316) 682-9900

Fax

(316) 682-0311

NPI assigned

Apr 25, 2006

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sophia Michael Zinkovsky Other name

Medicare fee-for-service enrollment

Enrolled in KS

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

Pediatric MedicineAlso: Family Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holy Family Medical IncGroup PAC ID 1658608906, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HOLYFM
• Direct secure messaging: sophia.zinkovsky@collegehillpeds.direct.emds.com

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.

• Holy Family Medical Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1215593249
  Medicare reassignment Care Compare group NPD
• Holy Family Medical, Inc.

  dba Holy Family Fairmount

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1215659156
  NPD

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1891751269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112154",
            "telephone_number": "316-682-9900",
            "fax_number": "316-682-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112154",
            "telephone_number": "316-682-9900",
            "fax_number": "316-682-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINKOVSKY",
        "first_name": "SOPHIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-28830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "274563042",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100381950D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "ZINKOVSKY",
            "middle_name": "MICHAEL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsey Paige Zimmerman
• Parker Roberts Zimmerman, MD
• Sarah Zimmerman, APRN
• Zinkovsky Pediatrics, Inc
• Zinkovsky Pediatrics, PA
• Michael A Ziser, P.A.
• Joleen M Zivnuska, ARNP
• Philip S Zivnuska, D.D.S.
• Katie Ann Zogelman, AU.D., CCC-A
• Deborah S Zogleman, SLP

• Pediatrics Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.