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DANIELLA ZIPKIN M.D.
NPI 1679592802
Internal Medicine in Durham, NC

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
4220 N ROXBORO ST, DURHAM, NC 27704(919) 471-8344(919) 477-3110 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniella Zipkin M.d. NPPES

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

DANIELLA ZIPKIN M.D. (NPI 1679592802) is an individual internal medicine provider in Durham, North Carolina, licensed in California (A78989) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of California, San Francisco School Of Medicine (1999).

NPPES Registry Identity

NPI1679592802
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDANIELLA ZIPKINCredential: M.D.
Location Address4220 N ROXBORO STDurham, NC 27704-1826
Mailing Address1101b Duke N, Dumc Department Of Medicine, Box 3230Durham, NC 27710-0001 · (919) 681-6336 · Fax (919) 684-8537
Phone(919) 471-8344
Fax(919) 477-3110
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1999
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679592802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A78989
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4220 N ROXBORO ST, Durham, NC 27704
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Other Identifiers 1

Medicare UPINH59196CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Daniella Zipkin 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 ID1153423660
PECOS Enrollment IDI20070816000780
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.

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.
159 services110 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.
40 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers14 claims53 services$7.08 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims800 services$0.23 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$211.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
Internal Medicine
4220 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 471-1518
MICHALA ALEXANDRA LEE MD
Internal Medicine
4220 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 471-8344
CHELSEA REBECCA PERFECT MD
Internal Medicine (Geriatric Medicine)
4220 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 620-4070
MRS. ANNE H SUMMACH MSN, FNP-BC
Nurse Practitioner (Family)
4220 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 620-4467
DR. ERIC G. POON MD
Internal Medicine
4220 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 471-1307
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine
4220 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 471-8344
JULIA C GAMBLE NP
Nurse Practitioner (Family)
4220 N ROXBORO ST, 2ND FLOOR
DURHAM, NC 27704
Durham County (919) 956-4000
DR. BENJAMIN HARRIS SMITH PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4220 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 660-0673

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 Daniella Zipkin's NPI number?

The NPI number for Daniella Zipkin is 1679592802. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Daniella Zipkin located?

Daniella Zipkin practices at 4220 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 471-8344.

What is Daniella Zipkin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daniella Zipkin enrolled in Medicare?

Yes. Daniella Zipkin 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 Daniella Zipkin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Daniella Zipkin 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 Daniella Zipkin affiliated with any hospitals?

According to CMS data, Daniella Zipkin is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Daniella Zipkin 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.