NPIMap

Individual provider Active NPI

Jeffery Zimmerman, DPM

  • Podiatrist
  • Shillington, PA
National Provider Identifier
1952822876
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006834 Issued in PA
Practice address
654 Philadelphia Ave
Shillington, PA 19607-2769
Phone
(610) 796-9522
Fax
(610) 796-0105
NPI assigned
Jun 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006834 PA Primary

Addresses

Primary practice location

654 Philadelphia Ave
Shillington, PA 19607-2769

Mailing address

PO Box 13579
Reading, PA 19612-3579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200113000257 PA Practitioner - Podiatry 2365713575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

654 Philadelphia Ave
Shillington, PA 19607-2769
Phone (610) 796-9522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.1 of 100Reported as group
Quality
60.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue55
Removal of skin lesions1-10
Removal of nail tissue1161
Removal or shaving of skin growth652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006834PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Foot and Ankle Surgical Associates, Inc Podiatrist CurrentSince Jan 2, 2020 Accepting new patients
Berks Foot and Ankle Surgical Associates, Inc Podiatrist CurrentSince Jan 2, 2020 Accepting new patients

Locations

260 State St
#2
Hamburg, PA 19526
Phone (610) 562-4999

654 Philadelphia Ave
Shillington, PA 19607
Phone (610) 796-9522

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

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 9

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1952822876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072769",
            "telephone_number": "610-796-9522",
            "fax_number": "610-796-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JEFFERY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shillington, PA

Sources for this page

Verify at the official NPI Registry.