Individual provider Active NPI

Walter A Zavala, MD

  • Internal Medicine Physician
  • Deltona, FL
National Provider Identifier
1104802982
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME68853 Issued in FL
Practice address
601 Deltona Blvd
Ste 101
Deltona, FL 32725-7174
Phone
(386) 574-6079
Fax
(386) 574-6934
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME68853 FL Primary

Addresses

Primary practice location

601 Deltona Blvd
Ste 101
Deltona, FL 32725-7174

Mailing address

601 Deltona Blvd
Ste 101
Deltona, FL 32725-7174
Phone (386) 574-6079

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
I20080909000660 FL Practitioner - Internal Medicine 0345218939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Deltona Blvd
Deltona, FL 32725-7704
Phone (386) 574-6079

601 Deltona Boulevard
Suite 101
Deltona, FL 32725-7704

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Medical Associates PA Internal Medicine CurrentSince Oct 1, 2001 Accepting new patients

Locations

601 Deltona Blvd
Ste 101
Deltona, FL 32725
Phone (386) 574-6079

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAIBBA/Endpoint/JAIBBA

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 7

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1104802982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DELTONA BLVD",
            "address_2": "STE 101",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257174",
            "telephone_number": "386-574-6079",
            "fax_number": "386-574-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DELTONA BLVD",
            "address_2": "STE 101",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257174",
            "telephone_number": "386-574-6079",
            "fax_number": "386-574-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "WALTER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME68853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.