Individual provider Active NPI

Glen W Zuroske, M.D.

  • Cardiovascular Disease Physician
  • Richland, WA
National Provider Identifier
1891798211
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00027215 Issued in WA
Practice address
1110 Gilmore St
Richland, WA 99352-3302
Phone
(509) 943-1172
Fax
(509) 946-6278
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD00027215 WA Primary

Addresses

Primary practice location

1110 Gilmore St
Richland, WA 99352-3302

Mailing address

1110 Gillmore Ave
Richland, WA 99352-3302
Phone (509) 943-1172

Other identifiers 2

IdentifierTypeStateIssuer
060018878OtherWARR MC
7069735MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20101014001174 WA Practitioner - Cardiovascular Disease (Cardiology) 1052504651 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Washington School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1110 Gillmore Ave
Richland, WA 99352-3302
Phone (509) 943-1172

2600 Compass Rd
Glenview, IL 60026-8001

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312
  • Trios Health Hospital, Kennewick, WA, CCN 500053
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00027215WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Mar 24, 2012 Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince May 1, 2013 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince May 1, 2013 Accepting new patients
Kadlec Regional Medical Center CurrentSince Mar 24, 2012 Accepting new patients
Northern Desert Cardiology PC Cardiovascular Disease CurrentSince Mar 1, 1993 Accepting new patients

Locations

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

1110 Gillmore Ave
Richland, WA 99352
Phone (509) 943-1172

Interoperability endpoints

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

Organizations & group practices 7

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 5

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1891798211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 GILLMORE AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523302",
            "telephone_number": "509-943-1172",
            "fax_number": "509-946-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 GILMORE ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523302",
            "telephone_number": "509-943-1172",
            "fax_number": "509-946-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUROSKE",
        "first_name": "GLEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00027215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "060018878",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7069735",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.