NICHOLAS ANDREW ZUMBERGE (MD) – Vascular & Interventional Radiology Physician, NPI 1063624864

NICHOLAS ANDREW ZUMBERGE (MD) is a healthcare provider. based in Westerville, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 35085136 (OH). The NPI Number for NICHOLAS ANDREW ZUMBERGE (MD) is 1063624864

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS ANDREW ZUMBERGE (MD)
NPI
1063624864
Phone
(614) 722-2000
Address
455 Executive Campus Dr
Enumeration Date
4 May 2007
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
7012943855
Group Practice PAC ID
8921068149
Professional Enrollment ID
I20050713000001
Address ID
OH432052664Co700XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

Provider Addresses for NICHOLAS ANDREW ZUMBERGE (MD)

  • 455 Executive Campus Dr

    Westerville, OH 430828870

    Phone: (614) 722-2000

    Type: Location

  • 2213 Cherry St

    Toledo, OH 436082603

    Phone: (419) 251-7960

    Type: Location

  • Nationwide Children's Hospital, 700, Children's Drive, Livingston Park, Columbus, Franklin, Ohio, 43205, United States

    COLUMBUS, OH 432052664

    Phone: (614) 722-2000

    Type: Mailing

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: 2005-07-13

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
I20050713000001IDiagnostic RadiologyOHTBD

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 43082)

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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: 8921068149View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
Diagnostic RadiologyOH
-OH
Interventional Radiology, Nuclear MedicineIN
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Nurse PractitionerOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH

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Frequently asked questions

How do I look up NICHOLAS ANDREW ZUMBERGE (MD) by NPI?
Use NPI 1063624864 when you need to reference NICHOLAS ANDREW ZUMBERGE (MD) in forms, claims, or directories.
Is NICHOLAS ANDREW ZUMBERGE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does NICHOLAS ANDREW ZUMBERGE (MD) work in?
You can think of NICHOLAS ANDREW ZUMBERGE (MD) as practicing within Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for NICHOLAS ANDREW ZUMBERGE (MD)?
The page summarizes Westerville, Ohio for NICHOLAS ANDREW ZUMBERGE (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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