NPIMap

Individual provider Active NPI

David C Zisa, M.D., PH.D.

  • Internal Medicine Physician
  • Wyomissing, PA
National Provider Identifier
1962763789
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
252200 Issued in MA
Practice address
2605 Keiser Blvd
Wyomissing, PA 19610-3338
Phone
(610) 685-8500
Fax
(610) 685-4833
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 252200 MA Primary

Addresses

Primary practice location

2605 Keiser Blvd
Wyomissing, PA 19610-3338

Mailing address

PO Box 448
East Petersburg, PA 17520-0448
Phone (717) 391-7092

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
I20190724002633 PA Practitioner - Cardiovascular Disease (Cardiology) 4688975105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York at Buffalo School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

2605 Keiser Blvd
Wyomissing, PA 19610-3338
Phone (670) 685-8500

Hospital & facility affiliations

  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225
  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252200MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Cardiologists LTD Current Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 30, 2019 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Aug 19, 2019 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physcian Group CurrentSince Aug 19, 2019 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 30, 2019 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients
Penn State Health Medical Group, LLC PastSince Dec 9, 2019 Accepting new patients

Locations

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

2221 Noll Dr
Fl 1
Lancaster, PA 17603
Phone (717) 715-1001

3970 Perkiomen Ave
Ste 102
Reading, PA 19606
Phone (610) 779-1330

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

2605 Keiser Blvd
Wyomissing, PA 19610
Phone (610) 685-8500

Interoperability endpoints

  • Direct secure messaging: davidzisa@bcl.allscriptsdirect.net

Organizations & group practices 9

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1962763789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 448",
            "city": "EAST PETERSBURG",
            "state": "PA",
            "postal_code": "175200448",
            "telephone_number": "717-391-7092",
            "fax_number": "717-735-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103338",
            "telephone_number": "610-685-8500",
            "fax_number": "610-685-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISA",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "252200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.