Individual provider Active NPI

Philip Tomy Zachariah, MD

  • Emergency Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1053601203
Registry record updated Aug 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.207891 Issued in LA
Practice address
7777 Hennessy Blvd
Baton Rouge, LA 70808-4300
Phone
(225) 765-6834
NPI assigned
Apr 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.207891 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Baton Rouge, LA 70808-4300

Mailing address

7777 Hennessy Blvd
Baton Rouge, LA 70808-4300
Phone (225) 765-6834

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
I20170502000650 TX Practitioner - Emergency Medicine 1951616002 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207891LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 30, 2019 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Oct 21, 2023 Accepting new patients
Rio Valley Emergency Physician Associates PLLC Emergency Medicine CurrentSince Mar 31, 2023 Accepting new patients
Methodist Health Centers Past Accepting new patients
Singleton Associates PA Past Accepting new patients
USA Emergency Centers - Clear Lake, LLC Past Accepting new patients
Brazos Valley ER, LLC Past Accepting new patients
Texas Em-1 Medical Services PA Emergency Medicine Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

8200 Highway 6
Sienna Plantation, TX 77459
Phone (713) 441-3724

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438473600000",
    "number": "1053601203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "PHILIP",
        "middle_name": "TOMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2015-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.207891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.