NICHOLAS BENJAMIN ZABAN M.D.
NPI 1366701690
Pediatrics - Pediatric Cardiology in Saint Cloud, MN

NPI Status: Active since May 07, 2012

Contact Information

1406 6TH AVE N
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 656-7020

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 14
  • Pediatrics
  • Pediatric Cardiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NICHOLAS ZABAN

This page provides the complete NPI Profile along with additional information for Nicholas Zaban, a pediatrician established in Saint Cloud, Minnesota with a medical specialization in Pediatrics, focusing in pediatric cardiology and more than 14 years of experience. He graduated from University Of Minnesota Medical School in 2012. The healthcare provider is registered in the NPI registry with number 1366701690 assigned on May 2012. The practitioner's primary taxonomy code is 2080P0202X with license number 01076612A (IN). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1366701690
Provider Name
NICHOLAS BENJAMIN ZABAN M.D.
Gender
Male
Entity Type
Individual
Location Address
1406 6TH AVE N SAINT CLOUD, MN 56303
Location Phone
(320) 656-7020
Mailing Address
1406 6TH AVE N SAINT CLOUD, MN 56303
Mailing Phone
(320) 656-7020
Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
05-07-2012
Last Update Date
08-09-2021
Code Navigator

A pediatrician like Nicholas Zaban 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 Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
License No.
01076612A
License State
IN
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Nicholas Zaban is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Nicholas Zaban is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 941440028

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190731000693

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for NICHOLAS BENJAMIN ZABAN M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1366701690, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 7 → 14 → 5 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 4 + 0 + 2 + 6 + 1 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1366701690.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Anesthesiology
1406 6TH AVE N
SAINT CLOUD, MN 56303
Anesthesiology
1406 6TH AVE N
SAINT CLOUD, MN 56303
Anesthesiology
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Anesthesiology
1406 6TH AVE N
SAINT CLOUD, MN 56303
Anesthesiology
1406 6TH AVE N
SAINT CLOUD, MN 56303
Anesthesiology
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Anesthetist, Certified Registered
1406 6TH AVE N
SAINT CLOUD, MN 56303
Anesthesiology
1406 6TH AVE N
SAINT CLOUD, MN 56303
Anesthesiology
1406 6TH AVE N
SAINT CLOUD, MN 56303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366701690, enumerated as an "individual" on May 07, 2012.

The provider is located at 1406 6TH AVE N SAINT CLOUD, MN 56303 and the phone number is (320) 656-7020.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

The provider might be accepting Accepts: HealthPartners, Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.