Individual provider Active NPI

Gaurang Chandrakant Zala, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1255541678
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3618 Issued in TX
Practice address
302 W Rector St
San Antonio, TX 78216-5718
Phone
(210) 358-0800
Fax
(210) 358-0850
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036123324 IL
Family Medicine Physician 207Q00000X S3618 TX Primary

Addresses

Primary practice location

302 W Rector St
San Antonio, TX 78216-5718

Mailing address

PO Box 734812
Dallas, TX 75373-4812
Phone (210) 358-9500

Other identifiers 2

IdentifierTypeStateIssuer
036123324MedicaidIL
IL5686022OtherILMEDICARE PTAN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191029002705 TX Practitioner - Family Practice 2961566609 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

4650 Westway Park Blvd
Houston, TX 77041-2006
Phone (713) 461-2915

9055 Katy Fwy
Suite 100
Houston, TX 77024-1617
Phone (346) 646-4954

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Oct 9, 2019 Accepting new patients
BHS Physicians Network, Inc Family Medicine CurrentSince Oct 9, 2019 Accepting new patients
Village Family Practice, L.L.P Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Community Medicine Associates Family Medicine CurrentSince Apr 15, 2020 Accepting new patients
Pain Management Specialists CurrentSince Feb 7, 2021 Accepting new patients

Locations

10720 Barker Cypress Rd
Cypress, TX 77433
Phone (281) 345-4800

1351 W 43rd St
Houston, TX 77018
Phone (346) 398-7218

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

124 Dallas St
San Antonio, TX 78205
Phone (210) 224-1771

302 W Rector St
San Antonio, TX 78216
Phone (210) 358-0800

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: gaurang.zala.1@13711.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1255541678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734812",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734812",
            "telephone_number": "210-358-9500",
            "fax_number": "210-358-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W RECTOR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165718",
            "telephone_number": "210-358-0800",
            "fax_number": "210-358-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALA",
        "first_name": "GAURANG",
        "middle_name": "CHANDRAKANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036123324",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036123324",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL5686022",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.