Individual provider Active NPI

Carlos D. Zorrilla, MD

  • Cardiovascular Disease Physician
  • Wharton, TX
National Provider Identifier
1386609154
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
F6183 Issued in TX
Practice address
2100 Regional Medical Dr
Wharton, TX 77488-9719
Phone
(979) 532-1700
Fax
(979) 532-6726
NPI assigned
Apr 17, 2006
Last updated
Aug 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X F6183 TX Primary

Addresses

Primary practice location

2100 Regional Medical Dr
Wharton, TX 77488-9719

Mailing address

2100 Regional Medical Dr
Wharton, TX 77488-9719
Phone (979) 532-1700

Other identifiers 6

IdentifierTypeStateIssuer
PO1090565OtherTXRAILROAD MEDICARE
123534307MedicaidTX
8DE553OtherTXBC/BS #
123534304MedicaidTX
060018788OtherTXRAILROAD GBA - RAILROAD MEDICARE
820624OtherTXBC/BS TX#

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
I20091207000589 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517006323 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Cardiovascular Disease CurrentSince May 1, 2012 Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

2100 Regional Medical Dr
Wharton, TX 77488
Phone (979) 532-1700

Interoperability endpoints

  • Direct secure messaging: carlosd.zorilla@direct.memorialhermann.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1386609154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 REGIONAL MEDICAL DR",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774889719",
            "telephone_number": "979-532-1700",
            "fax_number": "979-532-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 REGIONAL MEDICAL DR",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774889719",
            "telephone_number": "979-532-1700",
            "fax_number": "979-532-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORRILLA",
        "first_name": "CARLOS",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F6183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO1090565",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123534307",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS #",
            "identifier": "8DE553",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123534304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GBA - RAILROAD MEDICARE",
            "identifier": "060018788",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TX#",
            "identifier": "820624",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wharton, TX

Sources for this page

Verify at the official NPI Registry.