Individual provider Active NPI

Zachary J Prebay, MD

  • Urology Physician
  • Philadelphia, PA
National Provider Identifier
1902431190
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MT222870 Issued in PA
Practice address
33 South 9TH St., Suite 703
Department of Urology
Philadelphia, PA 19107-5001
Phone
(215) 955-1000
Fax
(215) 503-2066
NPI assigned
Mar 8, 2020
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036178232 IL
Urology Physician 208800000X MT222870 PA Primary

Addresses

Primary practice location

33 South 9TH St., Suite 703
Department of Urology
Philadelphia, PA 19107-5001

Mailing address

1025 Walnut St Ste 1100
Department of Urology
Philadelphia, PA 19107-5001
Phone (215) 955-1416

Other practice location 1

675 N Saint Clair St Ste 20-150
Chicago, IL 60611-5979
Phone (312) 695-8146

Other names 1

  • Zack James Prebay Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260622000566 IL Practitioner - Urology 9335548684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

675 N St Clair
150 Dept of Urology
Chicago, IL 60611-5975
Phone (312) 695-8900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT222870PAMDUrology Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1902431190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WALNUT ST STE 1100",
            "address_2": "DEPARTMENT OF UROLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075001",
            "telephone_number": "215-955-1416",
            "fax_number": "215-923-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SOUTH 9TH ST., SUITE 703",
            "address_2": "DEPARTMENT OF UROLOGY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075001",
            "telephone_number": "215-955-1000",
            "fax_number": "215-503-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 N Saint Clair St Ste 20-150",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606115979",
            "country_code": "US",
            "telephone_number": "312-695-8146",
            "fax_number": "312-695-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREBAY",
        "first_name": "ZACHARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-08",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036178232",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MT222870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACK",
            "last_name": "PREBAY",
            "middle_name": "JAMES",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.