Active NPI
Julia M Zevallos, M.D.
- Neurology Physician
- Festus, MO
National Provider Identifier
1255426755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 200160887
- Practice address
- 1400 US Highway 61
Suite 150
Festus, MO 63028-4100 - Phone
- (636) 931-6090
- Fax
- (636) 933-9509
- NPI assigned
- Oct 3, 2006
- Last updated
- Mar 23, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 200160887 | MO | Primary |
Addresses
Primary practice location
1400 US Highway 61
Suite 150
Festus, MO 63028-4100
Mailing address
1400 US Highway 61
Suite 150
Festus, MO 63028-4100
Phone (636) 931-6090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00400998 | Other | MO | RAILROAD MEDICARE PIN |
| 208320002 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200160887 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Mario V Alonso Jr Inc | Neurology | Past | Accepting new patients |
| Alton Multispecialists, LTD. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Neurology Physician
- Festus, MO
- NPI 1255546990
-
- Neurology Physician
- Saint Louis, MO
- NPI 1538253430
-
- Mammography Clinic/Center
- Alton, IL
- NPI 1942312442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1255426755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 US HIGHWAY 61",
"address_2": "SUITE 150",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284100",
"telephone_number": "636-931-6090",
"fax_number": "636-933-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 US HIGHWAY 61",
"address_2": "SUITE 150",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284100",
"telephone_number": "636-931-6090",
"fax_number": "636-933-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEVALLOS",
"first_name": "JULIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "200160887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00400998",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208320002",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.