Active NPI
Omar A Zantua, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- M0614
- Practice address
- 8511 S Sam Houston Pkwy E
101
Houston, TX 77075-4857 - Phone
- (713) 343-2301
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | M0614 | TX | Primary |
Addresses
Primary practice location
8511 S Sam Houston Pkwy E
101
Houston, TX 77075-4857
Mailing address
8511 S Sam Houston Pkwy E
101
Houston, TX 77075-4857
Phone (713) 343-2301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173870002 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
310 E Lawrence St
Dayton, TX 77535-1805
Phone (936) 258-7227
Hospital & facility affiliations
- Wurzbach Nursing and Rehabilitation
- Mystic Park Nursing and Rehabilitation Center
- Silver Creek Nursing and Rehabilitation
- Patriot Heights Health Care Center
- Huebner Creek Health & Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Pac Healthcare Services of Texas PLLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Lonestar Hospital Medicine Associates, PA | Current | Accepting new patients | |
| CS Pacs 3 Southwest, LLC | Current | Accepting new patients | |
| Medina County Hospital District | Past | Accepting new patients | |
| West Wharton County Hospital District | Past | Accepting new patients | |
| Geriatric Associates of America-Texas, PLLC | Past | Accepting new patients | |
| Uvalde County Hospital Authority | Past | Accepting new patients | |
| Caraday Wurzbach LLC | Past | Accepting new patients | |
| West Wharton County Hospital District | Past | Accepting new patients |
Locations
999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088
5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541
310 E Lawrence St
Dayton, TX 77535
Phone (936) 258-7227
5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000
201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610
6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055
415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051
721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279
2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460
208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810
811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569
8300 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 614-1040
4949 Ravenswood Dr
San Antonio, TX 78227
Phone (210) 568-5061
8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mystic Park Nursing and Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control Managing Control - Governing Body Adp of the SNF |
Jan 18, 2023 Jan 18, 2023 Jan 18, 2023 |
| Wurzbach Nursing and Rehabilitation | Skilled nursing facility | Adp of the SNF | Jan 1, 2006 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1558829291
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Organizations & group practices 10
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.
-
- Hospitalist Physician
- Baytown, TX
- NPI 1275398430
-
- Hospitalist Physician
- Addison, TX
- NPI 1194174201
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1598300196
-
- Internal Medicine Physician
- Webster, TX
- NPI 1669682886
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1194123901
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1295856870
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1023443579
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1558829291
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1295856870
Nursing home
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1023443579
Nursing home
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1558829291
Nursing home
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": "1396569600000",
"number": "1083675359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8511 S SAM HOUSTON PKWY E",
"address_2": "101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770754857",
"telephone_number": "713-343-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8511 S SAM HOUSTON PKWY E",
"address_2": "101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770754857",
"telephone_number": "713-343-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANTUA",
"first_name": "OMAR",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "M0614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173870002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.