Active NPI
Zima Medical Group, PLLC
- Internal Medicine Physician
- Helotes, TX
National Provider Identifier
1003288879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ZIMA MEDICAL GROUP, PLLC
- Practice address
- 12030 Bandera Rd
Ste. 128
Helotes, TX 78023-4735 - Phone
- (210) 685-8111
- Fax
- (210) 569-6581
- NPI assigned
- Oct 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Obinna Henry Ozibgo, MD
- Title
- Owner
- Phone
- (210) 241-7562
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
12030 Bandera Rd
Ste. 128
Helotes, TX 78023-4735
Mailing address
12030 Bandera Rd
Ste. 128
Helotes, TX 78023-4735
Phone (210) 685-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2309544 | Zima Medical Group PLLC | Certificate of waiver | Aug 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
16111 San Pedro Ave
Ste 123
San Antonio, TX 78232
Phone (210) 545-5755
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Helotes, TX
- NPI 1598850307
-
- Physician Assistant
- Helotes, TX
- NPI 1679595441
-
- Ophthalmology Physician
- San Antonio, TX
- NPI 1235394230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489104000000",
"number": "1003288879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12030 BANDERA RD",
"address_2": "STE. 128",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234735",
"telephone_number": "210-685-8111",
"fax_number": "210-569-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12030 BANDERA RD",
"address_2": "STE. 128",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234735",
"telephone_number": "210-685-8111",
"fax_number": "210-569-6581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZIMA MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-20",
"last_updated": "2017-03-10",
"status": "A",
"authorized_official_last_name": "OZIBGO",
"authorized_official_first_name": "OBINNA",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-241-7562",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Helotes, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.