ETANA ZACK
NPI 1487074407
Pediatrics in Baltimore, MD
About Etana Zack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETANA ZACK (NPI 1487074407) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (D0103778) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Etana Zack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Etana Zack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21287
- Reassigned Medicare billing, Maryland enrollment
- 34 clinicians in this Medicare group
Albany, NY 12208
- Reassigned Medicare billing, New York enrollment
- 1,640 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21287 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21287
BALTIMORE, MD 21287
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 Etana Zack's NPI number?
The NPI number for Etana Zack is 1487074407. It was assigned to this individual provider in the NPPES registry on April 17, 2014.
Where is Etana Zack located?
Etana Zack practices at 1800 Orleans St, Baltimore, MD 21287. The listed phone number is (410) 955-5000.
What is Etana Zack's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Etana Zack enrolled in Medicare?
Yes. Etana Zack is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Etana Zack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Etana Zack reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Albany Medical College (Albany, NY). 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 Etana Zack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Etana Zack was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Etana Zack · NPI 1487074407
Pediatrics physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 17, 2014.
## Identity
- **NPI:** 1487074407 (Entity type: Individual)
- **Enumerated:** April 17, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D0103778 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1800 ORLEANS ST, Baltimore, MD 21287-0010
- **Phone:** (410) 955-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins University (NPI 1992360861, Baltimore, MD); Albany Medical College (NPI 1497921688, Albany, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2026
- **Other identifiers:** Medicaid 036143859 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1487074407) · Data from the CMS NPPES public registry.