Individual provider Active NPI

Ralph Zagha, MD

  • Urology Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1063450773
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME95299 Issued in FL
Practice address
2951 NW 49TH Ave
Suite 207
Lauderdale Lakes, FL 33313-1600
Phone
(954) 652-0246
Fax
(954) 652-0471
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME95299 FL Primary
Urology Physician 208800000X 215117 MA

Addresses

Primary practice location

2951 NW 49TH Ave
Suite 207
Lauderdale Lakes, FL 33313-1600

Mailing address

2951 NW 49TH Ave
Suite 207
Lauderdale Lakes, FL 33313-1600
Phone (954) 652-0246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060915000401 FL Practitioner - UrologyPractitioner - Internal Medicine 6709881238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2951 NW 49TH Ave
Suite 205
Lauderdale Lakes, FL 33313-1608
Phone (954) 652-0246

8201 W Broward Blvd
Westside Regional Med Ctr
Plantation, FL 33324-2701
Phone (954) 473-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215117MAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ralph M Zagha MD PA Urology CurrentSince Jan 1, 2018 Accepting new patients

Locations

2951 NW 49th Ave
Ste 205
Lauderdale Lakes, FL 33313
Phone (954) 652-0246

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

6451 W Commercial Blvd
Tamarac, FL 33319
Phone (954) 652-0246

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4c236d22-a5ee-4e8f-ba94-5b9c7200c22a/

Organizations & group practices 1

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 6

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1063450773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE",
            "address_2": "SUITE 207",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131600",
            "telephone_number": "954-652-0246",
            "fax_number": "954-652-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE",
            "address_2": "SUITE 207",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131600",
            "telephone_number": "954-652-0246",
            "fax_number": "954-652-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGHA",
        "first_name": "RALPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME95299",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "215117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.