NICK B ZIOMEK (P.A.) – Physician Assistant, NPI 1154300457

NICK B ZIOMEK (P.A.) is a healthcare provider. based in Rancho mirage, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 19012 (CA). The NPI Number for NICK B ZIOMEK (P.A.) is 1154300457

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
NICK B ZIOMEK (P.A.)
NPI
1154300457
Phone
(760) 834-3593
Address
72780 Country Club Dr Ste 203
Enumeration Date
13 January 2006
Last Update Date
21 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7606107200
Graduation Year
2003 (23 years ago)
PAC ID
3274509070
Group Practice PAC ID
5890689657
Professional Enrollment ID
I20070927001064
Address ID
CA922536834LA45280DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for NICK B ZIOMEK (P.A.)

  • 72780 Country Club Dr Ste 203

    Rancho Mirage, CA 922704150

    Phone: (760) 834-3593

    Fax: (760) 674-3593

    Type: Location

  • Eisenhower Medical Center, 39000, Bob Hope Drive, Rancho Mirage, Riverside County, California, 92270, United States

    RANCHO MIRAGE, CA 922703221

    Phone: (760) 834-3593

    Fax: (760) 564-0101

    Type: Mailing

  • 45280, Seeley Drive, La Quinta, Riverside County, California, 92253, United States

    LA QUINTA, CA 922536834

    Phone: (760) 834-3593

    Fax: (760) 564-0101

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070927001064IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes567542$0
99203New patient office or other outpatient visit, 30-44 minutes107107$0
99214Established patient office or other outpatient visit, 30-39 minutes9696$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
69210Removal of impacted ear wax2020$0
View full utilization report →

Insurance plans in this area (ZIP 92270)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890689657View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
A N E S T H E S I O L O G YCA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CA
-CA
Hematology/Oncology, Internal MedicineCA
-CA
Hematology/Oncology, Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Family PracticeCA

Reviews

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Frequently asked questions

Does NICK B ZIOMEK (P.A.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICK B ZIOMEK (P.A.) uses 1154300457.
Does the file indicate NICK B ZIOMEK (P.A.) is practicing under active NPI?
Directory data currently reports NICK B ZIOMEK (P.A.) as active.
What is NICK B ZIOMEK (P.A.)'s primary classification?
Physician Assistant is the headline specialty for NICK B ZIOMEK (P.A.) here. Clinical services aligned with this taxonomy classification.
Where is NICK B ZIOMEK (P.A.) based?
NICK B ZIOMEK (P.A.) is tied to Rancho Mirage, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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