Luis Ernesto Zepeda, M.D.

Key facts

NPI

1215032602

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

K1739 (TX)

Practice address

3100 Broadway St Ste 104E
Houston, TX 77017-2338

Phone

(713) 634-0200

Fax

(713) 634-0202

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 10

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.

• Airline Medical Center and Diagnostics,PLLC Health Service Clinic/Center · Humble, TX · NPI 1275955650
  Medicare reassignment Care Compare group NPD TX
• Del Sol Centro Medico Familiar PLLC Family Medicine Physician · Houston, TX · NPI 1346670080
  Medicare reassignment NPD Authorized official FAMILY MEDICINE · TX
• Camino-Benech Company, LLC Family Nurse Practitioner · Houston, TX · NPI 1194320598
  Medicare reassignment NPD TX
• Airline Medical Center and Diagnostics,PPLC Geriatric Medicine (Family Medicine) Physician · Humble, TX · NPI 1134584451
  NPD
• Community Medical and Mental Health Services Inc Adult Medicine Physician · Houston, TX · NPI 1902100266
  NPD (past)
• Crawford Medical Services Inc General Practice Physician · Houston, TX · NPI 1649562448
  NPD (past)
• Direct Care Clinic Inc Family Medicine Physician · Houston, TX · NPI 1841580602
  NPD (past) FAMILY MEDICINE
• St Joseph Medical Clinic Inc Family Medicine Physician · Houston, TX · NPI 1346579695
  NPD (past) FAMILY MEDICINE
• St Raphael Medical Clinic Inc Geriatric Medicine (Family Medicine) Physician · Richmond, TX · NPI 1629355110
  NPD (past)
• St. Joseph Diagnostic Clinic, Inc. Family Medicine Physician · Houston, TX · NPI 1750523262
  NPD (past) FAMILY MEDICINE

Medicare Care Compare profile

Specialty

Family Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Airline Medical Center and Diagnostics,PLLC (3 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

No

HHS exclusion list flag

The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2024.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1215032602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774021267",
            "telephone_number": "713-702-1992",
            "fax_number": "713-391-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY ST STE 104E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770172338",
            "telephone_number": "713-634-0200",
            "fax_number": "713-634-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "LUIS",
        "middle_name": "ERNESTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J9284",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINKID",
            "identifier": "4136869",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "8K0447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Houston, TX · Family Medicine Physician in Texas