Active NPI
Ali S Zaza
- Surgery Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20964
- Practice address
- 4200 W Memorial Rd
Suite 303
Oklahoma City, OK 73120-9350 - Phone
- (405) 936-9966
- Fax
- (405) 756-3341
- NPI assigned
- Jan 13, 2006
- Last updated
- Apr 15, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20964 | OK | Primary |
Addresses
Primary practice location
4200 W Memorial Rd
Suite 303
Oklahoma City, OK 73120-9350
Mailing address
4200 W Memorial Rd
Suite 303
Oklahoma City, OK 73120-9350
Phone (405) 936-9966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100061900A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040929000509 | OK | Practitioner - General Surgery | 8123097128 | Practice locations: Lindsay, OK; Oklahoma City, OK |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
104 S Main St
Suite a
Lindsay, OK 73052-5632
Phone (405) 756-3335
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nemri Medical Services, Inc. | Past | Accepting new patients | |
| Pauls Valley Urgent Care LLC | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Urgent Care of Pauls Valley Aprn-CNP LLC | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Medical Wellness and Health LLC | Past | Accepting new patients |
Interoperability endpoints
- azaza76468@ouhealth.direct-ci.net
Organizations & group practices 7
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.
-
- Surgery Physician
- Oklahoma City, OK
- NPI 1639338072
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1821715434
-
- Family Medicine Physician
- Lindsay, OK
- NPI 1114040219
-
- Urgent Care Clinic/Center
- Pauls Valley, OK
- NPI 1205273414
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
-
- Urgent Care Clinic/Center
- Pauls Valley, OK
- NPI 1477097699
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lindsay, OK
- NPI 1144268723
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1376522789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 W MEMORIAL RD",
"address_2": "SUITE 303",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209350",
"telephone_number": "405-936-9966",
"fax_number": "405-756-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 W MEMORIAL RD",
"address_2": "SUITE 303",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209350",
"telephone_number": "405-936-9966",
"fax_number": "405-756-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAZA",
"first_name": "ALI",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2009-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "20964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100061900A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.