DR. KENNETH ZOUCHA (MD) – Pediatrics Physician, NPI 1033111570

DR. KENNETH ZOUCHA (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in PEDIATRIC MEDICINE, ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. 17958 (NE). The NPI Number for DR. KENNETH ZOUCHA (MD) is 1033111570

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH ZOUCHA (MD)
NPI
1033111570
Phone
Not provided
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
15 August 2005
Last Update Date
5 December 2018

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4025526007
Graduation Year
1988 (38 years ago)
PAC ID
0648226969
Group Practice PAC ID
6002728391
Professional Enrollment ID
I20180926000454
Address ID
NE681981023OM42XXXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

119 PEDIATRIC MEDICINE in NE

Provider Addresses for DR. KENNETH ZOUCHA (MD)

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681988102

    Phone:

    Type: Mailing

  • 42ND @ DEWEY ST

    OMAHA, NE 681981023

    Phone: (402) 552-6007

    Fax: (402) 552-6035

    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: 2018-09-26

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
I20180926000454IPediatric MedicineNETBD

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 68198)

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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: 6002728391View full group profile
NameSpecialtyState
Physician AssistantNE
Infectious DiseaseNE
N E U R O L O G YNE
P A T H O L O G YNE
Medical Oncology, Hematology/OncologyNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
G A S T R O E N T E R O L O G YNE
Internal MedicineNE
N E U R O S U R G E R YNE

Reviews

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Frequently asked questions

Can I verify DR. KENNETH ZOUCHA (MD) with an NPI only?
You can start verification with NPI 1033111570 for DR. KENNETH ZOUCHA (MD), then check state licensing separately.
Is DR. KENNETH ZOUCHA (MD) still practicing?
DR. KENNETH ZOUCHA (MD) is currently listed as active in the public NPI registry.
What is DR. KENNETH ZOUCHA (MD) best known for clinically?
Directory data describes DR. KENNETH ZOUCHA (MD) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KENNETH ZOUCHA (MD) on a map?
Expect Omaha, Nebraska as a primary anchor for DR. KENNETH ZOUCHA (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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