DR. ANTHONY R ZAPPIA MD
NPI 1184734402
Surgery in Carmel, IN
About Dr. Anthony R Zappia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANTHONY R ZAPPIA MD (NPI 1184734402) is an individual surgery provider in Carmel, Indiana, licensed in Indiana (01045065A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains a secondary practice location in Lakeland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Dr. Anthony R Zappia 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.
Medicare Billing Reassignments
4Medicare enrollment records show Anthony Zappia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carmel, IN 46032
- Reassigned Medicare billing, Indiana enrollment
- 945 clinicians in this Medicare group
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Freeport, IL 61032
- Reassigned Medicare billing, Illinois enrollment
- 391 clinicians in this Medicare group
Freeport, IL 61032
- Reassigned Medicare billing, Illinois enrollment
- 478 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fhn Memorial Hospital
Acute Care Hospitals · Freeport, ILAscension St Vincent Kokomo
Acute Care Hospitals · Kokomo, INAscension St Vincent Hospital
Acute Care Hospitals · Indianapolis, INAscension St Vincent Carmel
Acute Care Hospitals · Carmel, INAscension St Vincent Fishers
Acute Care Hospitals · Fishers, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARMEL, IN 46032
CARMEL, IN 46032
CARMEL, IN 46032
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 Anthony Zappia's NPI number?
The NPI number for Anthony Zappia is 1184734402. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Anthony Zappia located?
Anthony Zappia practices at 13430 N Meridian St Ste 275, Carmel, IN 46032. The listed phone number is (317) 582-8810.
What is Anthony Zappia's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Anthony Zappia enrolled in Medicare?
Yes. Anthony Zappia 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 organizations bill Medicare for Anthony Zappia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Zappia reassigns Medicare benefits to 4 organizations: St. Vincent Medical Group, Inc. (Carmel, IN), Rockford Health Physicians (Rockford, IL), Freeport Regional Health Care Foundation (Freeport, IL) and Freeport Memorial Hospital (Freeport, IL). Each 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 Anthony Zappia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anthony Zappia accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Quartz list Anthony Zappia 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 Anthony Zappia affiliated with any hospitals?
According to CMS data, Anthony Zappia is affiliated with Fhn Memorial Hospital, Ascension St Vincent Kokomo, Ascension St Vincent Hospital, Ascension St Vincent Carmel and Ascension St Vincent Fishers.
When was this NPI record last updated?
The NPPES record for Anthony Zappia was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Anthony R Zappia, MD · NPI 1184734402
Surgery physician in Carmel, Indiana. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1184734402 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 01045065A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 13430 N MERIDIAN ST STE 275, Carmel, IN 46032-1484
- **Phone:** (317) 582-8810
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): St. Vincent Medical Group, Inc. (NPI 1811881527, Carmel, IN); Rockford Health Physicians (NPI 1043242886, Rockford, IL); Freeport Regional Health Care Foundation (NPI 1457337016, Freeport, IL); Freeport Memorial Hospital (NPI 1447228788, Freeport, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** May 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184734402) · Data from the CMS NPPES public registry.