Individual provider Active NPI

Marie Luise Zaldivar, MD

  • Family Medicine Physician
  • Smithfield, NC
National Provider Identifier
1063472462
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9801124 Issued in NC
Practice address
127 E Market St
Smithfield, NC 27577-3915
Phone
(919) 934-7687
Fax
(919) 934-5297
NPI assigned
Mar 28, 2006
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 9801124 NC Primary

Addresses

Primary practice location

127 E Market St
Smithfield, NC 27577-3915

Mailing address

208 Black Forest Dr
Clayton, NC 27527-5314
Phone (919) 550-0520

Other practice location 1

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Phone (984) 215-6641

Other identifiers 2

IdentifierTypeStateIssuer
11623OtherNCBCBS OF NC
8911623MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address riverdalefamilymedicine@ppdxdirect.com Direct
Direct Messaging Address mzaldivar100397@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050915000349 NC Practitioner - Family Practice 5890728315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

127 E Market St
Smithfield, NC 27577-3915
Phone (919) 934-7687

410 Canterbury Rd
Smithfield, NC 27577-4861
Phone (919) 934-5149

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9801124NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Family Medicine CurrentSince May 9, 2023 Accepting new patients
Unc Physicians Network LLC Family Medicine Current Accepting new patients
Western Kentucky Radiation Oncology Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

127 E Market St
Smithfield, NC 27577
Phone (919) 934-7687

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

Interoperability endpoints

  • Direct secure messaging: mzaldivar100397@direct.unc.nchie.net
  • Direct secure messaging: riverdalefamilymedicine@ppdxdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1063472462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BLACK FOREST DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275275314",
            "telephone_number": "919-550-0520",
            "fax_number": "919-550-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E MARKET ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773915",
            "telephone_number": "919-934-7687",
            "fax_number": "919-934-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5221 Paramount Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275605490",
            "country_code": "US",
            "telephone_number": "984-215-6641",
            "fax_number": "984-215-4053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZALDIVAR",
        "first_name": "MARIE",
        "middle_name": "LUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9801124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "11623",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911623",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "riverdalefamilymedicine@ppdxdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDC/CCD/TXT",
            "address_1": "127 E Market St",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275773915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzaldivar100397@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "5221 Paramount Pkwy Ste 220",
            "city": "Morrisville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275605490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.