DR. KAREN E ZEMEL MD
NPI 1275524225
Pediatrics in Norwell, MA
NPI Status: Active since October 31, 2005
Contact Information
75 WASHINGTON ST
NORWELL, MA
ZIP 02061
Phone: (781) 878-5200
Fax: (781) 681-9901
- Individual
- Female
- Pediatrics
- Accepts Insurance
About KAREN ZEMEL
This page provides the complete NPI Profile along with additional information for Karen Zemel, a pediatrician established in Norwell, Massachusetts with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1275524225 assigned on October 2005. The practitioner's primary taxonomy code is 208000000X with license number 159840 (MA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1275524225
- Provider Name
- DR. KAREN E ZEMEL MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 75 WASHINGTON ST NORWELL, MA 02061
- Location Phone
- (781) 878-5200
- Location Fax
- (781) 681-9901
- Mailing Address
- 75 WASHINGTON ST NORWELL, MA 02061
- Mailing Phone
- (781) 878-5200
- Mailing Fax
- (781) 681-9901
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-31-2005
- Last Update Date
- 02-10-2011
- Code Navigator
A pediatrician like Karen Zemel is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 159840
- License State
- MA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| J21528 | OTHER (01) | MA | BCBS |
| 042297845 | OTHER (01) | MA | HCVM |
| 042297845 | OTHER (01) | MA | GIC UNICARE |
| 042297845 | OTHER (01) | MA | TRICARE |
| 159840 | OTHER (01) | MA | TUFTS |
| 0021229 | OTHER (01) | MA | NEIGHBORHOOD HLTH PLAN |
| 042297845 | OTHER (01) | MA | PRIVATE HEALTHCARE SYSTEM |
| A30304 | MEDICARE PIN (08) | ||
| 159840 | OTHER (01) | TUFTS MEDICARE PREFERRED | |
| B 10389703 | OTHER (01) | MA | CIGNA |
| H05975 | MEDICARE UPIN (02) | MA | |
| 51538 | OTHER (01) | MA | FALLON |
| 3198821 | MEDICAID (05) | MA | |
| 202071 | OTHER (01) | MA | HVD PILGRIM HEALTH CARE |
| B10389703 | OTHER (01) | MA | DOC FIRST |
| 042297845 | OTHER (01) | MA | UNITED HEALTH CARE |
| 042297845 | OTHER (01) | MA | GREAT WEST HEALTH CARE |
| 7254017 | OTHER (01) | MA | AETNA |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275524225, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275524225, enumerated as an "individual" on October 31, 2005.
The provider is located at 75 WASHINGTON ST NORWELL, MA 02061 and the phone number is (781) 878-5200.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
