Individual provider Active NPI

John Michael Ziebro, MD

  • Emergency Medicine Physician
  • Emeryville, CA
National Provider Identifier
1952924540
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1020847 Issued in MA
Practice address
2100 Powell St Ste 900
Emeryville, CA 94608-1844
Phone
(510) 350-2600
NPI assigned
May 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-51986 IA
Emergency Medicine Physician 207P00000X 327147 NY
Emergency Medicine Physician 207P00000X 036165207 IL
Emergency Medicine Physician 207P00000X 1020847 MA Primary
Emergency Medicine Physician 207P00000X A191304 CA
Emergency Medicine Physician 207P00000X 0101278505 VA
Emergency Medicine Physician 207P00000X 82121 WI

Addresses

Primary practice location

2100 Powell St Ste 900
Emeryville, CA 94608-1844

Mailing address

1433 Appomattox Dr
Maumee, OH 43537-2627
Phone (330) 635-9196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IL, IA, WI, NY, MA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20230817000794 VA Practitioner - Emergency Medicine 2567824972 Reassigns benefits to 1 organization
I20230921000668 IL Practitioner - Emergency Medicine 2567824972 Reassigns benefits to 5 organizations
I20231103001649 IA Practitioner - Emergency Medicine 2567824972 Reassigns benefits to 1 organization
I20240202002536 WI Practitioner - Emergency Medicine 2567824972 Reassigns benefits to 1 organization
I20240509001447 NY Practitioner - Emergency Medicine 2567824972 Reassigns benefits to 1 organization
I20250724000159 MA Practitioner - Emergency Medicine 2567824972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Toledo College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians
Vituity-Massachusetts PLLCGroup PAC ID 9032625207, 45 clinicians

Practice addresses (Care Compare)

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000

Hospital & facility affiliations

  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032
  • St Marys Hospital Hospital, Decatur, IL, CCN 140166
  • St Joseph'S Hospital Hospital, Highland, IL, CCN 141336

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
71.8
Improvement activities
40
Cost
80.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A191304CAMDEmergency Medicine Physician
MD-51986IAMDEmergency Medicine Physician
036165207ILMDEmergency Medicine Physician
1020847MAMDEmergency Medicine Physician
327147NYMDEmergency Medicine Physician
0101278505VAMDEmergency Medicine Physician
82121WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Wisconsin Em SC Emergency Medicine CurrentSince Jan 19, 2024 Accepting new patients
Associated Pathologists LTD Current Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Feb 6, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jan 16, 2024 Accepting new patients
Vituity-Wisconsin Em SC Emergency Medicine CurrentSince Jan 19, 2024 Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Oct 17, 2023 Accepting new patients
St Marys Hospital Decatur of the Hospital Sisters of the Third Order CurrentSince Feb 6, 2024 Accepting new patients
HSHS Good Shepherd Hospital Inc CurrentSince Feb 6, 2024 Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Oct 17, 2023 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Feb 6, 2024 Accepting new patients
Vituity-Wisconsin Em SC Emergency Medicine Current Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
St Francis Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Feb 6, 2024 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Vituity-Massachusetts PLLC Emergency Medicine CurrentSince Jul 13, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jan 16, 2024 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2140 53rd Ave
Bettendorf, IA 52722
Phone (563) 421-5700

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

200 S Cedar St
Shelbyville, IL 62565
Phone (217) 774-3961

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1952924540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 APPOMATTOX DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372627",
            "telephone_number": "330-635-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081844",
            "telephone_number": "510-350-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEBRO",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-51986",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "327147",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036165207",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "1020847",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A191304",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101278505",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "82121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.