NPIMap

Individual provider Active NPI

Gerardo Zavala, MD

  • Neurological Surgery Physician
  • San Antonio, TX
National Provider Identifier
1275707689
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
M9760 Issued in TX
Practice address
4611 Centerview
San Antonio, TX 78228-1202
Phone
(210) 255-8935
Fax
(210) 255-8026
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X M9760 TX Primary

Addresses

Primary practice location

4611 Centerview
San Antonio, TX 78228-1202

Mailing address

PO Box 205124
Dallas, TX 75320-5724
Phone (210) 255-8935

Other identifiers 3

IdentifierTypeStateIssuer
8CC488OtherTXBLUE CROSS BLUE SHIELD
196529505MedicaidTX
208351101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080902000462 TX Practitioner - Neurosurgery 3375619190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NSC Consultants, PAGroup PAC ID 5991850414, 9 clinicians

Practice addresses (Care Compare)

4611 Centerview
San Antonio, TX 78228-1202
Phone (210) 255-8935

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.52 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion106
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NSC Consultants, PA Neurological Surgery CurrentSince Jul 23, 2009 Accepting new patients
M. Reza Mizani, M.D., P.a. PastSince Aug 1, 2009 Accepting new patients

Locations

7500 Barlite Blvd
Ste 313
San Antonio, TX 78224
Phone (210) 255-8935

4611 Centerview
San Antonio, TX 78228
Phone (210) 255-8935

Organizations & group practices 2

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 8

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1275707689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753205724",
            "telephone_number": "210-255-8935",
            "fax_number": "210-255-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 CENTERVIEW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281202",
            "telephone_number": "210-255-8935",
            "fax_number": "210-255-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "GERARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "M9760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8CC488",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196529505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208351101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.