JOHN F ZWETCHKENBAUM M.D.
NPI 1124027552
Allergy & Immunology - Allergy in Providence, RI

Q: What is John Zwetchkenbaum's NPI number?

The NPI number for John Zwetchkenbaum is 1124027552. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Q: What is John Zwetchkenbaum's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment

29.42/100

CMS Quality Rating

1056 HOPE ST, PROVIDENCE, RI 02906(401) 751-1235(401) 751-4744 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About John F Zwetchkenbaum M.d. NPPES

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

JOHN F ZWETCHKENBAUM M.D. (NPI 1124027552) is an individual allergy provider in Providence, Rhode Island, licensed in Rhode Island (MD07704) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and is a graduate of Boston University School Of Medicine (1985).

NPPES Registry Identity

NPI1124027552

Entity TypeIndividualMale

Primary Taxonomy207KA0200X

Provider Legal NameJOHN F ZWETCHKENBAUMCredential: M.D.

Location Address1056 HOPE STProvidence, RI 02906-5026

Mailing Address1056 Hope StProvidence, RI 02906-5026 · (401) 751-1235 · Fax (401) 751-4744

Phone(401) 751-1235

Fax(401) 751-4744

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1985

Enumeration DateJuly 18, 2005

Last NPPES UpdateFebruary 21, 2008

✔ NPI 1124027552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians

Taxonomy Code207KA0200X

License✔ Licensed in RI · MD07704

Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

1056 HOPE ST, Providence, RI 02906

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Other Identifiers 2

Medicare UPINE48181RI

Medicaid9002909RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John F Zwetchkenbaum M.d. 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 ID2567350580

PECOS Enrollment IDI20071205000170

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.

Medicare Billing Reassignment

Medicare enrollment records show John Zwetchkenbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Asthma & Allergy Physicians Of Rhode Island Inc

11 mi

Allergy

470 TOLL GATE RD STE 203
Warwick, RI 02886

Reassigned Medicare billing, Rhode Island enrollment
2 clinicians in this Medicare group

NPI 1508992694 (401) 751-1235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

4,924 services70 patients

Test for allergy using skin patch 95044

A skin patch test helps identify allergens causing skin reactions. Small patches with potential allergens are applied to your skin, usually on the back. After 48 hours, they are removed to check for reactions. It's a safe and effective way to diagnose allergies.

2,437 services30 patients

Test for allergy using allergenic extract injected into skin 95024

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

976 services59 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

190 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

155 services116 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

126 services94 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

103 services86 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

70 services63 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

56 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

49 services49 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

32 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410009

Location455 Toll Gate RdWarwick, RI 02886 · Kent County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

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.

29.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

98.08

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms

Lower rates are better for this measure.

33%51 patients3/55-star benchmark: 100%

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation

Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented

34%79 patients2/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%3,553 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

76%1,041 patients3/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%146 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

2%844 patients1/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

84%844 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

1%844 patients1/55-star benchmark: 79%

Tobacco Use and Help with Quitting Among Adolescents

The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user

53%382 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

KAITLIN TAGINSKI PA-C

Physician Assistant

1056 HOPE ST
PROVIDENCE, RI 02906

Providence County (401) 751-1235

MR. RICHARD WARREN ADAMS PA-C

Physician Assistant

1056 HOPE ST
PROVIDENCE, RI 02906

Providence County (401) 751-1235

CHRISTINA AMY STREETS M.D.

Allergy & Immunology

1056 HOPE ST
PROVIDENCE, RI 02906

Providence County (401) 751-1235

MRS. AMANDA HOVEY MATTESON PA-C

Physician Assistant (Medical)

1056 HOPE ST
PROVIDENCE, RI 02906

Providence County (401) 751-1235

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 John Zwetchkenbaum's NPI number?

The NPI number for John Zwetchkenbaum is 1124027552. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is John Zwetchkenbaum located?

John Zwetchkenbaum practices at 1056 Hope St, Providence, RI 02906. The listed phone number is (401) 751-1235.

What is John Zwetchkenbaum's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is John Zwetchkenbaum enrolled in Medicare?

Yes. John Zwetchkenbaum 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.

Which organization bills Medicare for John Zwetchkenbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Zwetchkenbaum reassigns Medicare benefits to Asthma & Allergy Physicians Of Rhode Island Inc (Warwick, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Zwetchkenbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Zwetchkenbaum affiliated with any hospitals?

According to CMS data, John Zwetchkenbaum is affiliated with Kent County Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for John Zwetchkenbaum was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.