ZACHARY ODIN KUSTIN PA-C
NPI 1487111589
Physician Assistant - Medical in Orlando, FL

Q: What is Zachary Kustin's NPI number?

The NPI number for Zachary Kustin is 1487111589. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Q: What is Zachary Kustin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Kustin was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 25, 2019PECOS EnrolledAccepts Medicare Assignment

1222 S ORANGE AVE, ORLANDO, FL 32806(321) 841-6444(407) 650-1307 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2019, Feb 25, 2019 (2 updates tracked since 2019).

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About Zachary Odin Kustin Pa-c NPPES

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

ZACHARY ODIN KUSTIN PA-C (NPI 1487111589) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9111880) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487111589

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameZACHARY ODIN KUSTINCredential: PA-C

Location Address1222 S ORANGE AVEOrlando, FL 32806-1215

Mailing Address1222 S Orange AveOrlando, FL 32806-1215 · (321) 841-6444 · Fax (407) 650-1307

Phone(321) 841-6444

Fax(407) 650-1307

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 25, 2019

Last NPPES UpdateAugust 15, 20192 updates tracked since enumeration

✔ NPI 1487111589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9111880

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9111880 (FL)

1222 S ORANGE AVE, Orlando, FL 32806

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Other Identifiers 1

Medicaid102783000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zachary Odin Kustin Pa-c 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 ID3173856358

PECOS Enrollment IDI20190603000520

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.

Areas of Expertise CMS Part B claims 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

90 services85 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.

27 services27 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100006

Location52 W Underwood StOrlando, FL 32806 · Orange County

Emergency services Birthing friendly

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.

BRYAN DAVID BROWN MD

Orthopaedic Surgery (Hand Surgery)

1222 S ORANGE AVE, 5TH FLOOR
ORLANDO, FL 32806

Orange County (321) 841-1764

KAREN LEONIA WALKER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)