Andres Gonzalo Zuleta, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD191405 Issued in OR

Practice address

2020 Capitol St NE
Salem, OR 97301-0698

Phone

(503) 399-2424

Fax

(503) 375-7429

NPI assigned

Aug 3, 2010

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI, CA, WA3 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 3

Specialty

Hospitalist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palomar Hospitalist Medical Group IncGroup PAC ID 3678978269, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitas Healthcare Corporation of California Hospice, San Diego, CA, CCN 051597
• Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
• Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636
• The Villas at Poway Nursing home, Poway, CA, CCN 555301

Merit-based Incentive Payment System (MIPS)

Final score

98.32 of 100Reported as group

Improvement activities

40

Cost

76.64

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Palomar Hospitalist Medical Group, Inc

  • Hospitalist Physician
  • Escondido, CA
  • NPI 1801466826
  Medicare reassignment Care Compare group NPD
• Sound Physicians of Hawaii Inc

  • Internal Medicine Physician
  • Kealakekua, HI
  • NPI 1740658053

  Family Medicine

  Medicare reassignment NPD
• Cogent Healthcare of Washington, PC

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1861430522

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palomar Health

  dba Palomar Medical Center Poway

  • General Acute Care Hospital
  • Poway, CA
  • NPI 1376513754
  Care Compare affiliation
• Palomar Health

  dba Palomar Medical Center Escondido

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  Care Compare affiliation
• Palomar Health

  dba The Villas at Poway

  • Skilled Nursing Facility
  • Poway, CA
  • NPI 1619947090

  Nursing home

  Care Compare affiliation
• Vitas Healthcare Corporation of California

  • Community Based Hospice Care Agency
  • Irvine, CA
  • NPI 1295878304
  Care Compare affiliation
• Vitas Healthcare Corporation of California

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1801939939
  Care Compare affiliation

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1396059150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973030900",
            "telephone_number": "503-399-2424",
            "fax_number": "503-375-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CAPITOL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010698",
            "telephone_number": "503-399-2424",
            "fax_number": "503-375-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULETA",
        "first_name": "ANDRES",
        "middle_name": "GONZALO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "272646",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.3596R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "053530",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD191405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500762457",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Babak Zolfaghari-Azar, MS, QMHP
• Thomas Zondervan, LPC
• Katherine Marie Zuber, PA-C
• Kati Faith Zuber
• Alexander Zuk, DMD
• Erin Ashli Zurbrugg
• Tracey Zwemke
• Janelle Zych, DPT

• Family Medicine Physician in Salem, OR
• Providers in Salem, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.

Verify at the official NPI Registry.