Individual provider Active NPI

Richard Jimenez Zapata Jr., PA-C

  • Physician Assistant
  • Abilene, TX
National Provider Identifier
1235401662
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07507 Issued in TX
Practice address
4351 Ridgemont Dr Ste a
Abilene, TX 79606-8747
Phone
(254) 245-9175
NPI assigned
Feb 1, 2012
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07507 TX Primary
Surgical Physician Assistant 363AS0400X PA07507 TX

Addresses

Primary practice location

4351 Ridgemont Dr Ste a
Abilene, TX 79606-8747

Mailing address

PO Box 11538
Killeen, TX 76547-1538
Phone (254) 245-9175

Other practice location 1

5550 Lbj Fwy
Suite 150
Dallas, TX 75240-6217
Phone (972) 566-7810

Other identifiers 1

IdentifierTypeStateIssuer
PA07507OtherTXTEXAS

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000348 TX Practitioner - Physician Assistant 6305092883 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07507TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Urgent Care LLC CurrentSince Mar 23, 2023 Accepting new patients
Integrated Pain Associates PLLC Current Accepting new patients
West Texas Urgent Care LLC Past Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

4351 Ridgemont Dr
Ste A
Abilene, TX 79606
Phone (325) 698-4545

4438 S Clack St
Ste 200
Abilene, TX 79606
Phone (325) 704-4470

3800 S W S Young Dr
Ste 201
Killeen, TX 76542
Phone (254) 213-0489

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1235401662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11538",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765471538",
            "telephone_number": "254-245-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 RIDGEMONT DR STE A",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068747",
            "telephone_number": "254-245-9175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Lbj Fwy",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752406217",
            "country_code": "US",
            "telephone_number": "972-566-7810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAPATA",
        "first_name": "RICHARD",
        "middle_name": "JIMENEZ",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07507",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA07507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS",
            "identifier": "PA07507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.