Active NPI
Syed Rafay Hussain Zaidi, M.D.
- Student in an Organized Health Care Education/Training Program
- Pueblo, CO
National Provider Identifier
1225723562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Parkview Adult Medicine Clinic
311 West 14TH Street
Pueblo, CO 81003 - Phone
- (719) 595-7585
- Fax
- (719) 595-7589
- NPI assigned
- Apr 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CO | Primary |
Addresses
Primary practice location
Parkview Adult Medicine Clinic
311 West 14TH Street
Pueblo, CO 81003
Mailing address
Parkview Medical Center, Graduate Medical Education Off
400 W. 16TH Street
Pueblo, CO 81003
Phone (719) 595-7585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231207002046 | CO | Order and Referring Only - Internal Medicine | 4183073760 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1225723562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PARKVIEW MEDICAL CENTER, GRADUATE MEDICAL EDUCATION OFF",
"address_2": "400 W. 16TH STREET",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81003",
"telephone_number": "719-595-7585",
"fax_number": "719-595-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PARKVIEW ADULT MEDICINE CLINIC",
"address_2": "311 WEST 14TH STREET",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81003",
"telephone_number": "719-595-7585",
"fax_number": "719-595-7589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAIDI",
"first_name": "SYED RAFAY",
"middle_name": "HUSSAIN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-11",
"last_updated": "2023-10-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.