MARIO PASQUALE ZAMBITO MD
NPI 1083078844
Surgery - Surgical Critical Care in Grand Rapids, MI

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
221 MICHIGAN ST NE STE 400, GRAND RAPIDS, MI 49503(616) 486-9600 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mario Pasquale Zambito Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO PASQUALE ZAMBITO MD (NPI 1083078844) is an individual surgical critical care provider in Grand Rapids, Michigan, licensed in Michigan (4301506997) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Michigan State University College Of Human Medicine (2016).

NPPES Registry Identity

NPI1083078844
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameMARIO PASQUALE ZAMBITOCredential: MD
Location Address221 MICHIGAN ST NE STE 400Grand Rapids, MI 49503-2538
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2016
Enumeration DateApril 7, 2016
Last NPPES UpdateAugust 26, 2022
NPPES CertifiedAugust 26, 2022
NPI 1083078844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in MI · 4301506997
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
221 MICHIGAN ST NE STE 400, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mario Pasquale Zambito Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517341456
PECOS Enrollment IDI20220826001406
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
88 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services32 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services12 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Zambito's NPI number?

The NPI number for Mario Zambito is 1083078844. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Mario Zambito located?

Mario Zambito practices at 221 Michigan St NE Ste 400, Grand Rapids, MI 49503. The listed phone number is (616) 486-9600.

What is Mario Zambito's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Mario Zambito enrolled in Medicare?

Yes. Mario Zambito is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mario Zambito accept?

Health plans from Priority Health list Mario Zambito as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mario Zambito affiliated with any hospitals?

According to CMS data, Mario Zambito is affiliated with Spectrum Health and Corewell Health Big Rapids Hospital.

When was this NPI record last updated?

The NPPES record for Mario Zambito was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.