JOHN R. ZANDT (M.D.) – Hospitalist Physician, NPI 1104899798

JOHN R. ZANDT (M.D.) is a healthcare provider. based in Waukesha, Wisconsin. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 31971 (WI). The NPI Number for JOHN R. ZANDT (M.D.) is 1104899798

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JOHN R. ZANDT (M.D.)
NPI
1104899798
Phone
(262) 928-1000
Address
WAUKESHA MEMORIAL HOSPITAL-HOSPITALIST PROGRAM
Enumeration Date
13 February 2006
Last Update Date
9 November 2011

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
2622437300
Graduation Year
1988 (38 years ago)
PAC ID
7012198302
Group Practice PAC ID
5890604722
Professional Enrollment ID
I20110218000889
Address ID
WI530972416ME13111RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,941 INTERNAL MEDICINE in WI

Provider Addresses for JOHN R. ZANDT (M.D.)

  • WAUKESHA MEMORIAL HOSPITAL-HOSPITALIST PROGRAM

    725 AMERICAN AVENUE ROOM 2036

    WAUKESHA, WI 53188

    Phone: (262) 928-1000

    Fax: (262) 928-6140

    Type: Location

  • N17 W24100 RIVERWOOD DRIVE SUITE 250

    PROHEALTH CARE MEDICAL ASSOCIATES INC.

    WAUKESHA, WI 531881177

    Phone: (262) 928-4100

    Fax: (262) 928-5835

    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: 2011-02-18

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
I20110218000889IInternal MedicineWITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes370128$0
99239Hospital discharge day management, more than 30 minutes7472$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4432$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3332$0
View full utilization report →

Insurance plans in this area (ZIP 53188)

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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: 5890604722View full group profile

Reviews

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Frequently asked questions

Does JOHN R. ZANDT (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN R. ZANDT (M.D.) uses 1104899798.
Does CMS list JOHN R. ZANDT (M.D.) as active?
Yes — JOHN R. ZANDT (M.D.) is active in the NPI listing used on this page.
What is JOHN R. ZANDT (M.D.) best known for clinically?
Directory data describes JOHN R. ZANDT (M.D.) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What area does JOHN R. ZANDT (M.D.) serve?
JOHN R. ZANDT (M.D.)'s listing highlights Waukesha, Wisconsin; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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