Individual provider Active NPI

Phenu V Zachariah, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Tomball, TX
National Provider Identifier
1386838340
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
V1927 Issued in TX
Practice address
425 Holderrieth Blvd Ste 207
Tomball, TX 77375-4552
Phone
(713) 347-8843
Fax
(833) 764-6128
NPI assigned
Sep 4, 2007
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X V1927 TX Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 70454 WI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2010020902 MO

Addresses

Primary practice location

425 Holderrieth Blvd Ste 207
Tomball, TX 77375-4552

Mailing address

PO Box 42384
Belfast, ME 04915-1275
Phone (713) 347-8843

Other practice location 1

1151 Warwick Way
Racine, WI 53406-5661
Phone (262) 321-6300

Other identifiers 3

IdentifierTypeStateIssuer
P00866350OtherMORR MEDICARE
100084384MedicaidWI
1598759169MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pzachariah220898@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190131000551 WI Practitioner - Endocrinology 7517052434
I20260226001954 TX Practitioner - Endocrinology 7517052434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Midwestern University, Chicago College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645

425 Holderrieth Blvd
Suite 207
Tomball, TX 77375-4543

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology Consultants, PLLC Endocrinology, Diabetes & Metabolism CurrentSince Mar 15, 2026 Accepting new patients
Veterans Administration Pacific Island Health Care System Current Accepting new patients
VHS of Illinois Inc Past Accepting new patients
Macneal Physicians Group LLC Past Accepting new patients

Locations

425 Holderrieth Blvd
Ste 207
Tomball, TX 77375
Phone (281) 290-6300

Interoperability endpoints

  • Direct secure messaging: phenu.zachariah@hawaiihie.medicity.net
  • Direct secure messaging: pzachariah220898@direct.myadvocateaurora.org

Organizations & group practices 4

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1386838340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42384",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151275",
            "telephone_number": "713-347-8843",
            "fax_number": "833-764-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 207",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754552",
            "telephone_number": "713-347-8843",
            "fax_number": "833-764-6128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Warwick Way",
            "address_purpose": "LOCATION",
            "city": "Racine",
            "state": "WI",
            "postal_code": "534065661",
            "country_code": "US",
            "telephone_number": "262-321-6300",
            "fax_number": "262-321-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "PHENU",
        "middle_name": "V",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "V1927",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WI",
            "license": "70454",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2010020902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00866350",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100084384",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598759169",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pzachariah220898@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1151 Warwick Way",
            "city": "Racine",
            "state": "WI",
            "country_code": "US",
            "postal_code": "534065661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1151 Warwick Way",
            "city": "Racine",
            "state": "WI",
            "country_code": "US",
            "postal_code": "534065661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.