Individual provider Active NPI

Leonardo Montuya Zara, MD

  • Internal Medicine Physician
  • Goldsboro, NC
National Provider Identifier
1194829499
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200100495 Issued in NC
Practice address
201 Cox Blvd
Goldsboro, NC 27534-9479
Phone
(919) 735-7580
Fax
(919) 735-1475
NPI assigned
Sep 8, 2006
Last updated
Aug 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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 200100495 NC Primary

Addresses

Primary practice location

201 Cox Blvd
Goldsboro, NC 27534-9479

Mailing address

201 Cox Blvd
Goldsboro, NC 27534-9479
Phone (919) 735-7580

Other identifiers 1

IdentifierTypeStateIssuer
89128XEMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100209000683 NC Practitioner - Internal Medicine 4183767494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians
Prime Care Physicians PAGroup PAC ID 9830265578, 2 clinicians

Practice addresses (Care Compare)

1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400

201 Cox Blvd
Goldsboro, NC 27534-9479
Phone (919) 735-7580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.91 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
80.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200100495NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Care Physicians PA Internal Medicine CurrentSince Apr 1, 2001 Accepting new patients

Locations

201 Cox Blvd
Goldsboro, NC 27534
Phone (919) 734-9455

2607 Medical Office Pl
Ste B
Goldsboro, NC 27534
Phone (919) 587-3700

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 4

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1194829499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349479",
            "telephone_number": "919-735-7580",
            "fax_number": "919-735-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349479",
            "telephone_number": "919-735-7580",
            "fax_number": "919-735-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARA",
        "first_name": "LEONARDO",
        "middle_name": "MONTUYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200100495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128XE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.