Individual provider Active NPI

Maram Fuad Zakko, MD

  • Gastroenterology Physician
  • San Diego, CA
National Provider Identifier
1972579068
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A64346 Issued in CA
Practice address
17190 Bernardo Center Dr
San Diego, CA 92128-2002
Phone
(858) 675-3100
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A64346 CA Primary

Addresses

Primary practice location

17190 Bernardo Center Dr
San Diego, CA 92128-2002

Mailing address

488 E Valley Pkwy
Escondido, CA 92025-3363
Phone (760) 747-9682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070216000422 CA Practitioner - Gastroenterology 1951356013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100

488 E Valley Pkwy
Suite 106
Escondido, CA 92025-3368
Phone (760) 747-9682

Hospital & facility affiliations

  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy274
Upper gastrointestinal (GI) endoscopy for acid reflux138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64346CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Health Partners, Inc CurrentSince Jul 25, 2010 Accepting new patients
Arch Health Partners CurrentSince Jul 25, 2010 Accepting new patients
Maram F Zakko, MD Inc Gastroenterology CurrentSince Dec 14, 2006 Accepting new patients
Escondido Ca Endoscopy ASC LP PastSince Sep 30, 2004 Accepting new patients
Palomar Health Past Accepting new patients

Locations

488 E Valley Pkwy
Ste 10
Escondido, CA 92025
Phone (760) 747-9682

488 E Valley Pkwy
Ste 106
Escondido, CA 92025
Phone (760) 747-9682

488 E Valley Pkwy
Ste 110
Escondido, CA 92025
Phone (760) 735-6290

625 E Grand Ave
Escondido, CA 92025
Phone (760) 745-1551

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

15611 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

15611 Pomerado Rd
Ste 580
Poway, CA 92064
Phone (858) 592-2696

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mzakko32415@sharphealthcare.direct-ci.com

Organizations & group practices 5

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1972579068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253363",
            "telephone_number": "760-747-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17190 BERNARDO CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282002",
            "telephone_number": "858-675-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKKO",
        "first_name": "MARAM",
        "middle_name": "FUAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A64346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.