NPIMap

Individual provider Active NPI

James Victor Zirul, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Kenai, AK
National Provider Identifier
1891894606
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
AA2384 Issued in AK
Practice address
220 Spur View Drive
Kenai, AK 99611-6880
Phone
(907) 283-5400
Fax
(907) 283-6443
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X AA2384 AK Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5101008707 MI

Addresses

Primary practice location

220 Spur View Drive
Kenai, AK 99611-6880

Mailing address

220 Spur View Drive
Kenai, AK 99611-6880
Phone (907) 283-5400

Other identifiers 1

IdentifierTypeStateIssuer
DO2384MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080317000428 AK Practitioner - OtolaryngologyPractitioner - Maxillofacial Surgery 6507941440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Maxillofacial Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Spur View Dr
Kenai, AK 99611-6880
Phone (907) 283-5400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AA2384AKMDOtolaryngology/Facial Plastic Surgery Physician
5101008707MIMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Ear, Nose & Throat Clinic, Inc. CurrentSince Mar 28, 2008 Accepting new patients
Surgery Center of Kenai Current Accepting new patients

Locations

220 Spur View Dr
Kenai, AK 99611
Phone (907) 283-5400

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 and National Provider Directory roles.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1891894606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SPUR VIEW DRIVE",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116880",
            "telephone_number": "907-283-5400",
            "fax_number": "907-283-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SPUR VIEW DRIVE",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996116880",
            "telephone_number": "907-283-5400",
            "fax_number": "907-283-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRUL",
        "first_name": "JAMES",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AK",
            "license": "AA2384",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101008707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO2384",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

Verify at the official NPI Registry.