Individual provider Active NPI

Robin T Zon, M.D.

  • Medical Oncology Physician
  • Mishawaka, IN
National Provider Identifier
1891799391
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
01041630A Issued in IN
Practice address
5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone
(574) 237-1328
Fax
(574) 237-1348
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 01041630A IN
Hematology & Oncology Physician 207RH0003X 4301095563 MI
Medical Oncology Physician 207RX0202X 01041630A IN Primary

Addresses

Primary practice location

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470

Mailing address

100 E Wayne St Ste 510
South Bend, IN 46601-2349
Phone (574) 334-5390

Other practice location 1

615 N Michigan St
South Bend, IN 46601-1033
Phone (800) 860-8100

Other identifiers 2

IdentifierTypeStateIssuer
200172430AMedicaidIN
3450483MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060227000284 IN Practitioner - Medical OncologyPractitioner - HematologyPractitioner - Hematology/Oncology 8628048766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.47 of 100Reported as group
Quality
91.94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michiana Hematology-Oncology P C Hematology & Oncology CurrentSince May 1, 2006 Accepting new patients
Michiana Hematology-Oncology P C Hematology & Oncology CurrentSince May 1, 2006 Accepting new patients
Michiana Hematology-Oncology P C Hematology & Oncology PastSince Jan 1, 1990 Accepting new patients
Michiana Hematology Oncology of Michigan, P.C. Hematology & Oncology Past Accepting new patients

Locations

5340 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 237-1328

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

100 Navarre Pl
Ste 5550
South Bend, IN 46601
Phone (574) 234-5123

100 E Wayne St
Ste 510
South Bend, IN 46601

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1891799391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WAYNE ST STE 510",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012349",
            "telephone_number": "574-334-5390",
            "fax_number": "574-334-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 HOLY CROSS PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451470",
            "telephone_number": "574-237-1328",
            "fax_number": "574-237-1348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 N Michigan St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011033",
            "country_code": "US",
            "telephone_number": "800-860-8100",
            "fax_number": "574-282-2813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZON",
        "first_name": "ROBIN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01041630A",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301095563",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01041630A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200172430A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3450483",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.