NPIMap

Individual provider Active NPI

Zuka A Khabbazeh, M.D.

  • Neurology Physician
  • Edinburg, TX
National Provider Identifier
1144420266
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J2637 Issued in TX
Practice address
2821 Michaelangelo Dr Ste 306
Edinburg, TX 78539-1418
Phone
(956) 362-2440
Fax
(956) 362-2448
NPI assigned
Jul 18, 2007
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J2637 TX Primary

Addresses

Primary practice location

2821 Michaelangelo Dr Ste 306
Edinburg, TX 78539-1418

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-2440

Other practice location 1

101 N FM 3167 Ste 106
Rio Grande City, TX 78582-6725
Phone (956) 352-1431

Other identifiers 1

IdentifierTypeStateIssuer
126568809MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000374 TX Practitioner - Neurology 4082522016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

2821 W Michaelangelo Dr
Suite 306
Edinburg, TX 78539-1418
Phone (956) 362-2440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.1 of 100Reported as group
Quality
86
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation CurrentSince Oct 1, 2014 Accepting new patients
GS Physician Services Past Accepting new patients

Locations

2821 W Michaelangelo Dr
Ste 306
Edinburg, TX 78539
Phone (956) 362-2440

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

1421 N Col Rowe Blvd
Ste A
McAllen, TX 78501
Phone (956) 362-3930

101 N FM 3167
Ste 106
Rio Grande City, TX 78582
Phone (956) 352-1431

201 N FM 3167
Ste 106
Rio Grande City, TX 78582
Phone (956) 263-1785

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1144420266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-2440",
            "fax_number": "956-362-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAELANGELO DR STE 306",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391418",
            "telephone_number": "956-362-2440",
            "fax_number": "956-362-2448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N FM 3167 STE 106",
            "address_purpose": "LOCATION",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826725",
            "country_code": "US",
            "telephone_number": "956-352-1431",
            "fax_number": "956-352-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHABBAZEH",
        "first_name": "ZUKA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J2637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126568809",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.