Active NPI
Sally Ziatabar, D.O
- Pulmonary Disease Physician
- Houston, TX
National Provider Identifier
1194256396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- U3065
- Practice address
- 11920 Astoria Blvd Ste 320
Houston, TX 77089-6097 - Phone
- (281) 484-9369
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | U3065 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | U3065 | TX | Primary |
Addresses
Primary practice location
11920 Astoria Blvd Ste 320
Houston, TX 77089-6097
Mailing address
11920 Astoria Blvd Ste 320
Houston, TX 77089-6097
Phone (832) 715-3671
Other practice location 1
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000
Other practice location 2
100 E 77th St
New York, NY 10075-1850
Phone (212) 434-2000
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
- Pulmonary Disease
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11920 Astoria Blvd
Houston, TX 77089-6097
Phone (281) 484-9369
Hospital & facility affiliations
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U3065 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Pulmonary Medicine Associates PA | Multi-Specialty | Current | Accepting new patients |
| Cardiovascular Care Providers, Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
11920 Astoria Blvd
Ste 320
Houston, TX 77089
Phone (281) 484-9369
5 Professional Park Dr
Webster, TX 77598
Phone (281) 724-1259
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECHIAA
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.
-
- Pulmonary Disease Physician
- Houston, TX
- NPI 1881712628
Multi-Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1194256396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11920 ASTORIA BLVD STE 320",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896097",
"telephone_number": "832-715-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11920 ASTORIA BLVD STE 320",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896097",
"telephone_number": "281-484-9369"
}
],
"practiceLocations": [
{
"address_1": "100 Woods Rd",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951530",
"country_code": "US",
"telephone_number": "914-493-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E 77th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100751850",
"country_code": "US",
"telephone_number": "212-434-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIATABAR",
"first_name": "SALLY",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "U3065",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "U3065",
"primary": true
}
],
"identifiers": [],
"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 Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.