DR. ZACHARY WILLIAM PENROD (DO) – Hospitalist Physician, NPI 1629698220

DR. ZACHARY WILLIAM PENROD (DO) is a healthcare provider. based in Fort myers, Florida. specializing in HOSPITALIST. They hold the professional credentials DO. They hold a License No. OS20841 (FL). The NPI Number for DR. ZACHARY WILLIAM PENROD (DO) is 1629698220

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. ZACHARY WILLIAM PENROD (DO)
NPI
1629698220
Phone
(239) 343-2052
Address
PO BOX 2147
Enumeration Date
23 April 2020
Last Update Date
5 April 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2393432606
Graduation Year
2020 (6 years ago)
PAC ID
1456772177
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20240401003131
Address ID
FL339124300FO13681WAYX300

Contacts

Secure Messaging
zpenrod393805@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

2,493 HOSPITALIST in FL

Provider Addresses for DR. ZACHARY WILLIAM PENROD (DO)

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-2052

    Fax: (239) 343-5348

    Type: Mailing

  • 9981 S HEALTHPARK DR

    FORT MYERS, FL 339083618

    Phone: (239) 343-2052

    Fax: (239) 343-5348

    Type: Location

  • 13685 Doctors Way

    Fort Myers, FL 339124336

    Phone: (586) 747-1615

    Type: Location

  • 42316 LOCKLIN DR

    STERLING HTS, MI 483142824

    Phone: (586) 747-1615

    Type: Mailing

  • 4201 SAINT ANTOINE ST

    DETROIT, MI 482012153

    Phone: (313) 745-7888

    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: 2024-04-01

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
I20240401003131IHospitalistFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33902)

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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: 9335672146View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Family PracticeFL
General SurgeryFL
Family PracticeFL

Reviews

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Frequently asked questions

Where can patients find DR. ZACHARY WILLIAM PENROD (DO)'s NPI?
You can confirm DR. ZACHARY WILLIAM PENROD (DO) with NPI 1629698220; it appears in the national provider directory.
Is DR. ZACHARY WILLIAM PENROD (DO) active in the national directory?
DR. ZACHARY WILLIAM PENROD (DO)'s public NPI profile is in an active state.
What does DR. ZACHARY WILLIAM PENROD (DO) treat or focus on?
Patients typically see DR. ZACHARY WILLIAM PENROD (DO) under the specialty Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. ZACHARY WILLIAM PENROD (DO)?
The snapshot lists Fort Myers, Florida for DR. ZACHARY WILLIAM PENROD (DO); download NPPES for the complete set.
How can I contact DR. ZACHARY WILLIAM PENROD (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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