Active NPI
Robin T Zon, M.D.
- Medical Oncology Physician
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 01041630A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200172430A | Medicaid | IN | |
| 3450483 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.47 of 100
- Quality
- 91.94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michiana Hematology-Oncology P C | Hematology & Oncology | Current | Accepting new patients |
| Michiana Hematology-Oncology P C | Hematology & Oncology | Current | Accepting new patients |
| Michiana Hematology-Oncology P C | Hematology & Oncology | Past | 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.
-
- Medical Oncology Physician
- Mishawaka, IN
- NPI 1619970183
Hematology & Oncology
-
- Hematology & Oncology Physician
- Plymouth, IN
- NPI 1487793873
-
- Hematology & Oncology Physician
- Mishawaka, IN
- NPI 1003955485
-
- Hematology & Oncology Physician
- Niles, MI
- NPI 1235134461
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.