Individual provider Active NPI

Najy Khalid Zarroug, D.D.S. MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
National Provider Identifier
1063705457
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30696 Issued in TX
Practice address
711 W 38TH St Ste A1
Austin, TX 78705-1148
Phone
(512) 454-6725
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30696 TX Primary

Addresses

Primary practice location

711 W 38TH St Ste A1
Austin, TX 78705-1148

Mailing address

711 W 38TH St Ste A1
Austin, TX 78705-1148
Phone (512) 454-6725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 15, 2024 through Jan 15, 2028

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
New York University College of Dentistry, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 E John Carpenter Fwy
Suite 660
Irving, TX 75062-3543

Hospital & facility affiliations

  • Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30696TXMDOral and Maxillofacial Surgery (Dentist)

Hospital & facility affiliations 1

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1063705457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST STE A1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051148",
            "telephone_number": "512-454-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST STE A1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051148",
            "telephone_number": "512-454-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARROUG",
        "first_name": "NAJY",
        "middle_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "D.D.S. MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "30696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.