Active NPI
Roberto Nonesupplied Zamudio, MD
- Diagnostic Radiology Physician
- Galveston, TX
National Provider Identifier
1033313630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- BP1-0026586
- Practice address
- 301 University Blvd
Galveston, TX 77555-0462 - Phone
- (409) 772-4194
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | BP1-0026586 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-0462
Mailing address
6424 Central City Blvd Apt 221
Galveston, TX 77551-2066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3851440300 | Other | MYUTMB 3851440300-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Ponce School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4468 E Tonto PL
Chandler, AZ 85249-5681
Phone (918) 392-1702
Hospital & facility affiliations
- Chandler Regional Medical Center
- Mercy Gilbert Medical Center
- Dignity Health Arizona General Hospital
- Huhu Kam Memorial Hospital
- Honor Health John C. Lincoln Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0026586 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Valley Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiologists of Sierra Vista PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
20750 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 233-2468
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Chandler, AZ
- NPI 1518853928
-
- Diagnostic Radiology Physician
- Sierra Vista, AZ
- NPI 1649422536
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1689121188
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
-
- Critical Access Hospital
- Sacaton, AZ
- NPI 1225023179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033313630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6424 CENTRAL CITY BLVD APT 221",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775512066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550462",
"telephone_number": "409-772-4194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMUDIO",
"first_name": "ROBERTO",
"middle_name": "NONESUPPLIED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "BP1-0026586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 3851440300-COMMERCIAL NUMBER",
"identifier": "3851440300",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.