Active NPI
Nadim M Zacca MD PA
- Specialist
- Houston, TX
National Provider Identifier
1265744866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F5420
- Legal business name
- NADIM M ZACCA MD PA
- Practice address
- 6550 Fannin St Ste 2229
Houston, TX 77030-2709 - Phone
- (713) 795-4059
- NPI assigned
- Jul 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nadim M Zacca, M.D.
- Title
- President
- Phone
- (713) 795-4059
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | F5420 | TX | Primary |
Addresses
Primary practice location
6550 Fannin St Ste 2229
Houston, TX 77030-2709
Mailing address
6550 Fannin St Ste 2229
Houston, TX 77030-2709
Phone (713) 795-4059
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00LA14 | Other | TX | MEDICARE PTAN |
| 115444502 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6550 Fannin St
Ste 2229
Houston, TX 77030
Phone (713) 795-4059
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Houston, TX
- NPI 1114019346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278892800000",
"number": "1265744866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST STE 2229",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302709",
"telephone_number": "713-795-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST STE 2229",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302709",
"telephone_number": "713-795-4059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADIM M ZACCA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-12",
"last_updated": "2010-07-12",
"status": "A",
"authorized_official_last_name": "ZACCA",
"authorized_official_first_name": "NADIM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-795-4059",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "F5420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "00LA14",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115444502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.