Ted Edward Zegarra, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29946 Issued in AZ

Practice address

1739 E Beverly Ave
Suite 201
Kingman, AZ 86409-3593

Phone

(928) 692-3456

Fax

(928) 692-7071

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• River Valley Home Health Home health agency, Lake Havasu, AZ, CCN 037402
• Kingman Regional Medical Center Home Health Home health agency, Kingman, AZ, CCN 037050
• Family Care Home Health Agency Home health agency, Bullhead City, AZ, CCN 037477
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Merit-based Incentive Payment System (MIPS)

Final score

84.85 of 100Reported as group

Quality

84.49

Promoting interoperability

83

Improvement activities

40

Cost

79.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zegarra.ted@direct.azkrmc.md

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.

• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Kingman Healthcare, Inc

  • Specialist
  • Kingman, AZ
  • NPI 1689897787

  Family Medicine

  NPD
• Kingman Healthcare, Inc

  • Community/Retail Pharmacy
  • Kingman, AZ
  • NPI 1992286298
  NPD
• The Lingenfelter Center, LTD

  • Skilled Nursing Facility
  • Kingman, AZ
  • NPI 1265432777
  NPD
• The Lingenfelter Center

  • Assisted Living Facility
  • Kingman, AZ
  • NPI 1669604542
  NPD (past)
• El Paso County Hospital District

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1619747938
  NPD (past)
• Re Medical Associates, P.a.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1033227624
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Family Care Home Health & Hospice LLC

  • Home Health Agency
  • Bullhead City, AZ
  • NPI 1053834887
  Care Compare affiliation
• Kingman Healthcare, Inc

  • Home Health Agency
  • Kingman, AZ
  • NPI 1174701478
  Care Compare affiliation
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917

  Home health agency

  Care Compare affiliation
• Mohave Healthcare, Inc.

  • Home Health Agency
  • Lake Havasu City, AZ
  • NPI 1578947842
  Care Compare affiliation

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063492676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE",
            "address_2": "SUITE 201",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-692-3456",
            "fax_number": "928-692-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE",
            "address_2": "SUITE 201",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-692-3456",
            "fax_number": "928-692-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGARRA",
        "first_name": "TED",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "29946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871203",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "29946",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsie Raechal Young, PHARMD
• Shawnda Nicole Young, MS, LAC, NCC
• Yucca Elementary School District #13
• Phillip Zeek, DO
• Narcedallia Miriam Zegarra, MD
• Joseph Debesay Zeray
• Deanna Ying Zhou, PHARMD
• Cal J. Zimmerman, MSPT
• Dana Pleshette Smith Zimmermann, DNP
• Sarah Marie Zito, MD

• Family Medicine Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.