ZENOUN O ABOUZELAM MD
NPI 1699769695
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Appleton, WI

Q: What is Zenoun Abouzelam's NPI number?

The NPI number for Zenoun Abouzelam is 1699769695. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Q: What is Zenoun Abouzelam's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Zenoun Abouzelam was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 06, 2005PECOS EnrolledAccepts Medicare Assignment

77.77/100

CMS Quality Rating

1506 S ONEIDA ST, APPLETON, WI 54915(920) 730-6700 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Zenoun O Abouzelam Md NPPES

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

ZENOUN O ABOUZELAM MD (NPI 1699769695) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Appleton, Wisconsin, licensed in Wisconsin (28312) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1699769695

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameZENOUN O ABOUZELAMCredential: MD

Location Address1506 S ONEIDA STAppleton, WI 54915-1305

Mailing Address1506 S Oneida StAppleton, WI 54915-1305 · (920) 730-6700

Phone(920) 730-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 1978

Enumeration DateSeptember 6, 2005

Last NPPES UpdateNovember 17, 2022

✔ NPI 1699769695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in WI · 28312

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1506 S ONEIDA ST, Appleton, WI 54915

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Other Identifiers 1

Medicaid31473600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health 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

Zenoun O Abouzelam Md 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 ID2668466327

PECOS Enrollment IDI20040414000562

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.

Hospital Affiliations CMS Care Compare

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520009

Location1506 S Oneida StAppleton, WI 54915 · Outagamie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.47

Promoting Interoperability

Improvement Activities

Cost

63.8

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

68%28 patients3/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

61%67 patients3/55-star benchmark: 85%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%186 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

90%111 patients3/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%87 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

75%182 patients4/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

50%125 patients3/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 26 patients

88%26 patients4/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

67%181 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

23%181 patients2/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

24%181 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

FOX VALLEY NEONATOLOGY SC

Pediatrics (Neonatal-Perinatal Medicine)

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 738-2000

ANNA QUELLA RD, LD, MS

Dietitian, Registered

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 831-1602

ASCENSION NE WISCONSIN, INC

Skilled Nursing Facility

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 720-1464

KAYLA MARIE LETTERMAN DPT

Physical Therapist

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 738-2681

BESSANT A PARKER MD

Hospitalist

1506 S ONEIDA ST, HOSPITAL SERVICE DEPARTMENT
APPLETON, WI 54915

Calumet County (920) 738-2000

DR. JOSEPH DOMINIC CHABOT D.O.

Neurological Surgery

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 738-2000

PANKAJ JAIN

Pediatrics (Neonatal-Perinatal Medicine)

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 730-7670

SAMUEL A. SOUTHARD CRNA

Nurse Anesthetist, Certified Registered

1506 S ONEIDA ST
APPLETON, WI 54915

Calumet County (920) 738-2000

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 Zenoun Abouzelam's NPI number?

The NPI number for Zenoun Abouzelam is 1699769695. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Zenoun Abouzelam located?

Zenoun Abouzelam practices at 1506 S Oneida St, Appleton, WI 54915. The listed phone number is (920) 730-6700.

What is Zenoun Abouzelam's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Zenoun Abouzelam enrolled in Medicare?

Yes. Zenoun Abouzelam 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 Zenoun Abouzelam accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health and Sanford Health Plan list Zenoun Abouzelam 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 Zenoun Abouzelam affiliated with any hospitals?

According to CMS data, Zenoun Abouzelam is affiliated with Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for Zenoun Abouzelam was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.