ZACHARY WILLIS M.D.
NPI 1639495641
Student in an Organized Health Care Education/Training Program in Cincinnati, OH

Active since April 15, 2010PECOS EnrolledAccepts Medicare Assignment
3333 BURNET AVE, ML 5018, CINCINNATI, OH 45229(513) 636-4315 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zachary Willis M.d. NPPES

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

ZACHARY WILLIS M.D. (NPI 1639495641) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2010).

NPPES Registry Identity

NPI1639495641
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameZACHARY WILLISCredential: M.D.
Location Address3333 BURNET AVE, ML 5018Cincinnati, OH 45229-3039
Mailing Address3333 Burnet Ave, Ml 5021Cincinanti, OH 45229-3039 · (513) 636-4315
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2010
Enumeration DateApril 15, 2010
NPI 1639495641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3333 BURNET AVE, Cincinnati, OH 45229

Accepted 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 Willis 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 ID6204115678
PECOS Enrollment IDI20161108001831
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.

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.

Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229

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 Zachary Willis's NPI number?

The NPI number for Zachary Willis is 1639495641. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Where is Zachary Willis located?

Zachary Willis practices at 3333 Burnet Ave Ml 5018, Cincinnati, OH 45229. The listed phone number is (513) 636-4315.

What is Zachary Willis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Zachary Willis enrolled in Medicare?

Yes. Zachary Willis 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.

What insurance does Zachary Willis accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Zachary Willis 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 Zachary Willis was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.