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DR. AKRAM A ZALATIMO M.D.
NPI 1437144839
Obstetrics & Gynecology in Wilkes Barre, PA

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
545 N RIVER ST, SUITE 110, WILKES BARRE, PA 18702(570) 270-7600(570) 270-7602 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Akram A Zalatimo M.d. NPPES

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

DR. AKRAM A ZALATIMO M.D. (NPI 1437144839) is an individual obstetrics & gynecology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD-038606-L) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1437144839
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. AKRAM A ZALATIMOCredential: M.D.
Location Address545 N RIVER ST, SUITE 110Wilkes Barre, PA 18702-2600
Mailing Address545 N River St, Suite 110Wilkes Barre, PA 18702-2600 · (570) 270-7600 · Fax (570) 270-7602
Phone(570) 270-7600
Fax(570) 270-7602
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437144839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD-038606-L
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
545 N RIVER ST, Wilkes Barre, PA 18702
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Other Identifiers 3

Medicare UPINC33597PA
Medicaid0008106820005PA
Medicare ID-Type UnspecifiedZA410943PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Akram A Zalatimo 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 ID1759393531
PECOS Enrollment IDI20060616000157
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 Akram Zalatimo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regional Womens Health Group LLC
81 mi
Obstetrics & Gynecology
450 CRESSON BLVD STE 300
Phoenixville, PA 19460
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 226 clinicians in this Medicare group
NPI 1750880118 (856) 669-6050

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 8

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
229 services172 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.
186 services159 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.
141 services104 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
51 services51 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
34 services34 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
31 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

HYUNG-BAE KIM MD PC
Obstetrics & Gynecology
545 N RIVER ST, SUITE 210
WILKES BARRE, PA 18702
Luzerne County (570) 823-1169
LAUREN DENAPLES
Nurse Practitioner (Family)
545 N RIVER ST, SUITE 240
WILKES BARRE, PA 18702
Luzerne County (570) 706-2620
GARY RAYMOND DECKER MD
Internal Medicine (Infectious Disease)
545 N RIVER ST, SUITE 205
WILKES BARRE, PA 18702
Luzerne County (570) 822-6036
WYOMING VALLEY INFECTIOUS DISEASE ASSOC, PC
Internal Medicine (Infectious Disease)
545 N RIVER ST, SUITE 205
WILKES BARRE, PA 18702
Luzerne County (570) 822-6036
AKRAM ZALATIMO,MD
Obstetrics & Gynecology (Obstetrics)
545 N RIVER ST, SUITE 110
WILKES BARRE, PA 18702
Luzerne County (570) 270-7600
DAVID LEZINSKY DO
Obstetrics & Gynecology
545 N RIVER ST, STE 210
WILKES BARRE, PA 18702
Luzerne County (570) 823-1169
RICHARD H. BLUM MD
Clinic/Center (Primary Care)
545 N RIVER ST, SUITE 230
WILKES BARRE, PA 18702
Luzerne County (570) 826-0526
STEVEN W. MARRA M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
545 N RIVER ST, SUITE 220
WILKES BARRE, PA 18702
Luzerne County (570) 819-2825

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 Akram Zalatimo's NPI number?

The NPI number for Akram Zalatimo is 1437144839. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Akram Zalatimo located?

Akram Zalatimo practices at 545 N River St Suite 110, Wilkes Barre, PA 18702. The listed phone number is (570) 270-7600.

What is Akram Zalatimo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Akram Zalatimo enrolled in Medicare?

Yes. Akram Zalatimo 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 Akram Zalatimo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Akram Zalatimo reassigns Medicare benefits to Regional Womens Health Group LLC (Phoenixville, PA). 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 Akram Zalatimo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Akram Zalatimo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Akram Zalatimo 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 Akram Zalatimo affiliated with any hospitals?

According to CMS data, Akram Zalatimo is affiliated with Wilkes-Barre General Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Akram Zalatimo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.