DR. JUSTINO M ZOMA M.D.
NPI 1427436674
Pediatrics - Pediatric Cardiology in Rochester, MI
About Dr. Justino M Zoma M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTINO M ZOMA M.D. (NPI 1427436674) is an individual pediatric cardiology provider in Rochester, Michigan, licensed in Michigan (4301107018) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
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. Justino M Zoma 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.
Medicare Billing Reassignments
4Medicare enrollment records show Justino Zoma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, MI 48307
- Reassigned Medicare billing, Michigan enrollment
- 59 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 393 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Henry Ford Health St. John Hospital
- 520 clinicians in this Medicare group
Grand Blanc, MI 48439
- Reassigned Medicare billing, Michigan enrollment
- 59 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Justino Zoma's NPI number?
The NPI number for Justino Zoma is 1427436674. It was assigned to this individual provider in the NPPES registry on May 8, 2015.
Where is Justino Zoma located?
Justino Zoma practices at 1135 W University Dr Ste 355, Rochester, MI 48307. The listed phone number is (248) 844-6030.
What is Justino Zoma's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Justino Zoma enrolled in Medicare?
Yes. Justino Zoma 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 Justino Zoma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justino Zoma reassigns Medicare benefits to 4 organizations: Henry Ford Health Rochester Hospital (Rochester, MI), Henry Ford Health Providence Hospital (Southfield, MI), Ascension St John Hospital (Southfield, MI) and Genesys Practice Partners Inc (Grand Blanc, MI). 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 Justino Zoma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justino Zoma accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Justino Zoma 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.
When was this NPI record last updated?
The NPPES record for Justino Zoma was last updated on December 9, 2021. 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. Justino M Zoma, M.D. · NPI 1427436674
Pediatric Cardiology physician in Rochester, Michigan. Individual provider, active in the CMS NPPES registry since May 8, 2015.
## Identity
- **NPI:** 1427436674 (Entity type: Individual)
- **Enumerated:** May 8, 2015
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 4301107018 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1135 W UNIVERSITY DR STE 355, Rochester, MI 48307-1871
- **Phone:** (248) 844-6030 · **Fax:** (248) 652-5726
## 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): Henry Ford Health Rochester Hospital (NPI 1184747263, Rochester, MI); Henry Ford Health Providence Hospital (NPI 1548223787, Southfield, MI); Ascension St John Hospital (NPI 1922397058, Southfield, MI); Genesys Practice Partners Inc (NPI 1194774752, Grand Blanc, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1427436674) · Data from the CMS NPPES public registry.