Kenneth Scott Zimmerman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

161911 Issued in NY

Practice address

6760 Main St
Williamsville, NY 14221-5947

Phone

(716) 626-0030

Fax

(716) 532-5256

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kzimmerman@zimmerman.medentdirect.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan M Bennett, RPA-C

  • Medical Physician Assistant
  • Williamsville, NY
  • NPI 1972695534
  Medicare reassignment
• Christine Krol, MD

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1386207553
  Medicare reassignment
• Rachel Cara Smith, PA

  • Surgical Physician Assistant
  • Nashville, TN
  • NPI 1881065845

  NY

  Medicare reassignment

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.

• Kenneth S. Zimmerman, MD

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1235510181
  NPD (past) Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1992756969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215947",
            "telephone_number": "716-626-0030",
            "fax_number": "716-532-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215947",
            "telephone_number": "716-626-0030",
            "fax_number": "716-532-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "161911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00980630",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asha Diane Ziembiec, M.D.
• Walter Zimdahl, DDS
• Wendy E Zimmer, MD
• Ann Zimmerman
• Dawn Zimmerman, RN
• Roger Zimmerman, LMT
• Amie Zinzola, LPN
• Sandra J Zion, OTA
• Jake Zipp
• Gabriela Kristine Zirna, PA-C

• Internal Medicine Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.