Individual provider Active NPI

Nadim Michell Zacca, M.D.

  • Specialist
  • Houston, TX
National Provider Identifier
1114019346
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F5420 Issued in TX
Practice address
6550 Fannin St Ste 2229
Houston, TX 77030-2709
Phone
(713) 795-4059
Fax
(713) 795-5732
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F5420 TX Primary

Addresses

Primary practice location

6550 Fannin St Ste 2229
Houston, TX 77030-2709

Mailing address

6550 Fannin St Ste 2229
Houston, TX 77030-2709
Phone (713) 795-4059

Other identifiers 1

IdentifierTypeStateIssuer
115444502MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100716000063 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 9830221571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Baylor College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6550 Fannin St
Suite 2229
Houston, TX 77030-2709

6550 Fannin St
Suite 2427
Houston, TX 77030-2748
Phone (713) 795-4059

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nadim M Zacca MD PA Specialist CurrentSince May 30, 2010 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

6550 Fannin St
Ste 2427
Houston, TX 77030
Phone (713) 795-4059

6550 Fannin St
Ste 2229
Houston, TX 77030
Phone (713) 795-4059

Interoperability endpoints

  • Direct secure messaging: nzacca20499@directhoustonmethodist.org

Organizations & group practices 2

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 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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1114019346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 2229",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302709",
            "telephone_number": "713-795-4059",
            "fax_number": "713-795-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 2229",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302709",
            "telephone_number": "713-795-4059",
            "fax_number": "713-795-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCA",
        "first_name": "NADIM",
        "middle_name": "MICHELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F5420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115444502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.