Individual provider Active NPI

John J Zavaleta, M.D.

  • Gynecology Physician
  • Irving, TX
National Provider Identifier
1023038155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G0320 Issued in TX
Practice address
3501 N Macarthur Blvd
Ste 350
Irving, TX 75062-3636
Phone
(972) 257-5300
Fax
(972) 257-5321
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G0320 TX Primary

Addresses

Primary practice location

3501 N Macarthur Blvd
Ste 350
Irving, TX 75062-3636

Mailing address

3501 N Macarthur Blvd
Ste 350
Irving, TX 75062-3636
Phone (972) 257-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060912000619 TX Practitioner - Obstetrics/Gynecology 4284638818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3501 N Macarthur Blvd
Suite 350
Irving, TX 75062-3600
Phone (972) 257-5300

Hospital & facility affiliations

  • Medical City Las Colinas Hospital, Irving, TX, CCN 450822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Las Colinas Obstetrics Gynecology & Infertility Association P a CurrentSince Oct 31, 2006 Accepting new patients
Continence Care Group PastSince Sep 15, 2017 Accepting new patients
Live Dry LLC Past Accepting new patients
Simplicity Senior Care LLC PastSince Apr 11, 2008 Accepting new patients

Locations

3501 N MacArthur Blvd
Ste 350
Irving, TX 75062
Phone (972) 257-5300

Interoperability endpoints

  • Direct secure messaging: jzavaleta@direct.uspi.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023038155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD",
            "address_2": "STE 350",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623636",
            "telephone_number": "972-257-5300",
            "fax_number": "972-257-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD",
            "address_2": "STE 350",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623636",
            "telephone_number": "972-257-5300",
            "fax_number": "972-257-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALETA",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "G0320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.