Individual provider Active NPI

Nicholas Astor Zoumberos, MD

  • Dermatopathology (Pathology) Physician
  • Little Rock, AR
National Provider Identifier
1922452515
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
E-14171 Issued in AR
Practice address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone
(501) 686-8000
NPI assigned
Apr 20, 2016
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Dermatopathology (Pathology) Physician 207ZD0900X E-14171 AR Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X E-14171 AR

Addresses

Primary practice location

4301 W Markham St # 783
Little Rock, AR 72205-7101

Mailing address

PO Box 251420
Little Rock, AR 72225-1420
Phone (501) 686-8000

Other practice location 1

1301 Catherine Street
4232 Med Sci I
Ann Arbor, MI 48109-5602
Phone (734) 764-3270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MI, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210825002082 AR Practitioner - Pathology 3870880941 Reassigns benefits to 2 organizations
I20250108001792 MI Practitioner - PathologyPractitioner - Dermatology 3870880941 Reassigns benefits to 1 organization
I20250109001966 OR Practitioner - PathologyPractitioner - Dermatology 3870880941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
Tulane University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curtis T. Thompson, M.D. and Associates, PLLCGroup PAC ID 8921033945, 13 clinicians

Practice addresses (Care Compare)

3135 S State St
Suite 309
Ann Arbor, MI 48108-1653
Phone (503) 906-7300

9750 SW Nimbus Ave
Beaverton, OR 97008-7172
Phone (503) 906-7300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-14171ARMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 14, 2021 Accepting new patients
Michigan Pathology Specialists PC Anatomic Pathology & Clinical Pathology CurrentSince Mar 15, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 14, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 14, 2021 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Curtis T. Thompson, M.D. & Associates, PLLC Dermatopathology CurrentSince Nov 8, 2024 Accepting new patients
Cta Oral Pathology Consultants of Michigan, PLLC PastSince Nov 8, 2024 Accepting new patients

Locations

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

3131 S State St
Ste 309
Ann Arbor, MI 48108
Phone (503) 245-8219

3135 S State St
Ste 309
Ann Arbor, MI 48108

418 Washington St
Lakeview, MI 48850
Phone (989) 352-6474

9750 SW Nimbus Ave
Beaverton, OR 97008

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1922452515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251420",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251420",
            "telephone_number": "501-686-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Catherine Street",
            "address_2": "4232 Med Sci I",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095602",
            "country_code": "US",
            "telephone_number": "734-764-3270",
            "fax_number": "734-615-2964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOUMBEROS",
        "first_name": "NICHOLAS",
        "middle_name": "ASTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AR",
            "license": "E-14171",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AR",
            "license": "E-14171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.