Individual provider Active NPI

Kimberly Zawistoski, D.O.

  • Family Medicine Physician
  • Warminster, PA
National Provider Identifier
1922335108
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT012642 Issued in PA
Practice address
225 Newtown Rd
Warminster, PA 18974-5221
Phone
(215) 441-6650
NPI assigned
Nov 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H73040 MD
Family Medicine Physician 207Q00000X OT012642 PA Primary

Addresses

Primary practice location

225 Newtown Rd
Warminster, PA 18974-5221

Mailing address

21785 Filigree CT
Suite 100
Ashburn, VA 20147-6213
Phone (703) 554-1100

Other practice location 1

21785 Filigree Ct
Suite 100
Ashburn, VA 20147-6213
Phone (703) 554-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20221201001484 PA Practitioner - Family Practice 4183896038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

125 Medical Campus Dr
Suite 215
Lansdale, PA 19446-7205
Phone (215) 368-4434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012642PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients
Nova Medical and Urgent Care Center, Inc. Family Medicine Past Accepting new patients
Walnut Street Community Health Center, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

125 Medical Campus Dr
Ste 215
Lansdale, PA 19446
Phone (215) 368-4434

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

225 Newtown Rd
Warminster, PA 18974
Phone (215) 441-6600

Organizations & group practices 6

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 2

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": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1922335108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT",
            "address_2": "SUITE 100",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476213",
            "telephone_number": "703-554-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NEWTOWN RD",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189745221",
            "telephone_number": "215-441-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21785 Filigree Ct",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201476213",
            "country_code": "US",
            "telephone_number": "703-554-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAWISTOSKI",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H73040",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT012642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

Verify at the official NPI Registry.