PHILIP ANDREW ZUMARAN – Medical Physician Assistant, NPI 1194571240

PHILIP ANDREW ZUMARAN is a healthcare provider. based in Reno, Nevada. specializing in PHYSICIAN ASSISTANT. The NPI Number for PHILIP ANDREW ZUMARAN is 1194571240

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
PHILIP ANDREW ZUMARAN
NPI
1194571240
Phone
(775) 348-8800
Address
5310 KIETZKE LN STE 104
Enumeration Date
29 April 2024
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7757836190
Graduation Year
2025 (1 year ago)
PAC ID
5890285092
Group Practice PAC ID
9133188626
Professional Enrollment ID
I20251106002303
Address ID
NV897061681CA2874XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:2State licenses:0Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for PHILIP ANDREW ZUMARAN

  • 5310 KIETZKE LN STE 104

    RENO, NV 895112043

    Phone: (775) 348-8800

    Fax: (833) 687-1419

    Type: Mailing

  • 973 MICA DR STE 201

    CARSON CITY, NV 897057258

    Phone: (775) 348-8800

    Fax: (833) 687-1419

    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: 2025-11-06

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
I20251106002303IPhysician AssistantNVTBD

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 89511)

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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: 9133188626View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNV
Physician AssistantNV
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeNV
Nurse PractitionerPA
Physician AssistantNV
Physician AssistantNV
-NV
-NV
Pain ManagementWA

Reviews

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Frequently asked questions

Can I cross-check PHILIP ANDREW ZUMARAN using NPI 1194571240?
NPI 1194571240 belongs to PHILIP ANDREW ZUMARAN; compare other details if you need extra assurance.
Is PHILIP ANDREW ZUMARAN still an active registrant?
PHILIP ANDREW ZUMARAN carries an active NPI according to the public dataset.
What area of care is associated with PHILIP ANDREW ZUMARAN?
PHILIP ANDREW ZUMARAN's record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PHILIP ANDREW ZUMARAN?
Travel planning: use Reno, Nevada as the reference point for PHILIP ANDREW ZUMARAN, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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