Individual provider Active NPI

Maria Criselda Borlongan Zaldivar, M.D.

  • Nephrology Physician
  • Lake City, FL
National Provider Identifier
1154520799
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME87258 Issued in FL
Practice address
1283 SW Sr 47
Suite 102
Lake City, FL 32025-4833
Phone
(877) 377-5602
Fax
(386) 754-1741
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME87258 FL Primary

Addresses

Primary practice location

1283 SW Sr 47
Suite 102
Lake City, FL 32025-4833

Mailing address

4423 NW 6TH PL
Suite a
Gainesville, FL 32607-6115
Phone (352) 377-5600

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
I20071101000488 FL Practitioner - Nephrology 6507953924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of North Central Florida P aGroup PAC ID 9537134887, 10 clinicians

Practice addresses (Care Compare)

10543 Suwanee Plaza Blvd
Live Oak, FL 32060-1426
Phone (386) 364-6604

179 SW Prosperity PL
Lake City, FL 32024-0683
Phone (386) 719-0217

215 SW Prosperity PL
Suite 110
Lake City, FL 32024-0699
Phone (386) 754-1716

340 NW Commerce Dr
Lake City, FL 32055-4709
Phone (386) 719-9000

4423 NW 6TH PL
Suite a
Gainesville, FL 32607-6116
Phone (352) 377-5600

4423 NW 6TH Place
Suite a
Gainesville, FL 32607-6116

444 W Madison St
Starke, FL 32091-3926
Phone (904) 964-8822

6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4000

Hospital & facility affiliations

  • FMC-Lake City West Dialysis facility, Lake City, FL, CCN 682585
  • Fresenius Medical Care Lake City Home Dialysis facility, Lake City, FL, CCN 682607
  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of North Central Florida P a Nephrology CurrentSince Oct 8, 2007 Accepting new patients

Locations

4423 NW 6th Pl
Ste A
Gainesville, FL 32607
Phone (352) 213-1250

215 SW Prosperity Pl
Ste 110
Lake City, FL 32024
Phone (386) 754-1716

1283 SW State Road 47
Ste 102
Lake City, FL 32025
Phone (386) 755-6644

Interoperability endpoints

  • Direct secure messaging: mzaldivar28521@direct.acumenmd.com

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 3

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1154520799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 NW 6TH PL",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076115",
            "telephone_number": "352-377-5600",
            "fax_number": "352-377-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 SW SR 47",
            "address_2": "SUITE 102",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254833",
            "telephone_number": "877-377-5602",
            "fax_number": "386-754-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALDIVAR",
        "first_name": "MARIA CRISELDA",
        "middle_name": "BORLONGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME87258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.