MARK ZIMMERMAN (MD) – Psychiatry Physician, NPI 1508842857

MARK ZIMMERMAN (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD08762 (RI). The NPI Number for MARK ZIMMERMAN (MD) is 1508842857

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MARK ZIMMERMAN (MD)
NPI
1508842857
Phone
(401) 444-7442
Address
146 W RIVER ST
Enumeration Date
19 December 2005
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028990124
Graduation Year
1990 (36 years ago)
PAC ID
4082665559
Group Practice PAC ID
4880021658
Professional Enrollment ID
I20251006002668
Address ID
VT054827821SH145XXRDXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

304 PSYCHIATRY in RI

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Provider Addresses for MARK ZIMMERMAN (MD)

  • West River Center, 146, West River Street, Providence, Providence County, Rhode Island, 02904, United States

    SUITE 11B

    PROVIDENCE, RI 029042609

    Phone: (401) 444-7442

    Fax: (401) 444-7109

    Type: Location

  • Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States

    POTTER 3

    PROVIDENCE, RI 029034923

    Phone: (401) 444-4318

    Fax: (401) 444-6573

    Type: Mailing

  • 145 Pine Haven Shores Rd Ste 1191

    Shelburne, VT 054827821

    Phone: (802) 899-0124

    Fax: (855) 268-5333

    Type: Location

  • 420 SCRABBLETOWN RD STE A

    NORTH KINGSTOWN, RI 028523638

    Phone: (401) 268-5333

    Fax: (855) 268-5333

    Type: Mailing

  • 1170 PONTIAC AVE

    CRANSTON, RI 029207944

    Phone: (401) 500-0424

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $107,686.

Total Amount is formed as General ($107,686) + Research ($0) + Ownership ($0) = $107,686.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($53,227).

Total Amount

$107,686

General + Research + Ownership

Payments

113

Total payment records

General Amount

$107,686

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2025-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050202000705IPsychiatryRITBD
I20251006002668IPsychiatryVTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8521$0
90833Psychotherapy with evaluation and management visit, 30 minutes4214$0
View full utilization report →

Insurance plans in this area (ZIP 02904)

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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: 4880021658View full group profile
NameSpecialtyState
Nurse PractitionerCT
Clinical PsychologistRI
Nurse PractitionerIL
Nurse PractitionerRI
Nurse PractitionerRI
Nurse PractitionerRI
Clinical PsychologistRI
Psychiatry, Geriatric PsychiatryRI
Mental Health CounselorRI
Clinical PsychologistRI

Reviews

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Frequently asked questions

What identifier follows MARK ZIMMERMAN (MD) across health systems?
The NPI 1508842857 uniquely identifies MARK ZIMMERMAN (MD) in U.S. healthcare data.
Quick check: is MARK ZIMMERMAN (MD) active?
Public NPPES data shows MARK ZIMMERMAN (MD) with an active NPI status right now.
How should patients interpret MARK ZIMMERMAN (MD)'s specialty?
The extract shows Psychiatry Physician for MARK ZIMMERMAN (MD). Clinical services aligned with this taxonomy classification.
Is MARK ZIMMERMAN (MD) tied to Providence, Rhode Island?
If you are local to Providence, Rhode Island, MARK ZIMMERMAN (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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