Individual provider Active NPI

Christian Joel Zuniga, D.O.

  • Family Medicine Physician
  • Athens, TX
National Provider Identifier
1053722355
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q8686 Issued in TX
Practice address
117 Medical Cir
Athens, TX 75751-9003
Phone
(903) 676-3200
Fax
(903) 676-3277
NPI assigned
May 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q8686 TX Primary

Addresses

Primary practice location

117 Medical Cir
Athens, TX 75751-9003

Mailing address

117 Medical Cir
Athens, TX 75751-9003
Phone (903) 676-3200

Other identifiers 1

IdentifierTypeStateIssuer
Q8686OtherTXMEDICAL

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
I20180604000089 TX Practitioner - Family Practice 9335404862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Medical AssociatesGroup PAC ID 2567476146, 16 clinicians

Practice addresses (Care Compare)

117 Medical Cir
Athens, TX 75751-9003
Phone (903) 676-3200

Hospital & facility affiliations

  • Ut Health East Texas Home Health Services Home health agency, Athens, TX, CCN 677586
  • Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions14
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q8686TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Medical Associates Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
Athens Hospital, LLC Past Accepting new patients

Locations

117 Medical Cir
Athens, TX 75751
Phone (903) 676-3200

Interoperability endpoints

  • Direct secure messaging: christian.zuniga.1@31619.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1053722355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MEDICAL CIR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519003",
            "telephone_number": "903-676-3200",
            "fax_number": "903-676-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MEDICAL CIR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519003",
            "telephone_number": "903-676-3200",
            "fax_number": "903-676-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "CHRISTIAN",
        "middle_name": "JOEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q8686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "Q8686",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

Verify at the official NPI Registry.