DR. PHILIP DZAMBO (DO) – Emergency Medicine Physician, NPI 1285204933

DR. PHILIP DZAMBO (DO) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 0460R (OK). The NPI Number for DR. PHILIP DZAMBO (DO) is 1285204933

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP DZAMBO (DO)
NPI
1285204933
Phone
(570) 234-5997
Address
1612 N ELLISON AVE
Enumeration Date
25 June 2021
Last Update Date
30 January 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
4055151000
Graduation Year
2021 (5 years ago)
PAC ID
0345616744
Group Practice PAC ID
2769395185
Professional Enrollment ID
I20221025003154
Address ID
OK730729749NO3300XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:4State licenses:2Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

Provider Addresses for DR. PHILIP DZAMBO (DO)

  • 1612 N ELLISON AVE

    OKLAHOMA CITY, OK 731064440

    Phone: (570) 234-5997

    Type: Mailing

  • 901 N PORTER AVE

    NORMAN, OK 730716404

    Phone: (405) 307-1000

    Type: Location

  • 3300 HEALTHPLEX PKWY

    NORMAN, OK 730729749

    Phone: (405) 307-3026

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2023-10-25 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($69).

Total Amount

$69

General + Research + Ownership

Payments

1

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-25

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
I20221025003154IEmergency MedicineOKTBD

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
99285Emergency department visit with high level of medical decision making2424$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1414$0
View full utilization report →

Insurance plans in this area (ZIP 73106)

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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: 2769395185View full group profile
NameSpecialtyState
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK

Reviews

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Frequently asked questions

What unique ID ties claims to DR. PHILIP DZAMBO (DO)?
NPI 1285204933 is assigned to DR. PHILIP DZAMBO (DO) under the national enumeration system.
Is DR. PHILIP DZAMBO (DO)'s NPI currently valid?
The extract we use shows DR. PHILIP DZAMBO (DO) as active.
What kind of provider is DR. PHILIP DZAMBO (DO)?
The page reflects Emergency Medicine Physician for DR. PHILIP DZAMBO (DO). Clinical services aligned with this taxonomy classification.
What location shows for DR. PHILIP DZAMBO (DO)?
We surface Oklahoma City, Oklahoma for DR. PHILIP DZAMBO (DO) based on available NPPES addresses.
What if Oklahoma City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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