Zachary D. Fulton, M.D.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

R4697 Issued in TX

Practice address

4502 Medical Dr
San Antonio, TX 78229-4402

Phone

(210) 358-4000

Fax

(210) 567-6418

NPI assigned

Jun 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Diagnostic Radiology

Education

University of New Mexico School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Star MCD LLCGroup PAC ID 2668659434, 77 clinicians

North Star MRI LPGroup PAC ID 5890762330, 54 clinicians

North Star GV LPGroup PAC ID 0648539023, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zfulton25865@direct.utmsa.com

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.

• North Star GV, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Grapevine, TX
  • NPI 1922512664
  Medicare reassignment Care Compare group NPD
• North Star MCD, LLC

  dba North Stat Diagnostic Imaging

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1295496602
  Medicare reassignment Care Compare group NPD
• North Star MRI LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Allen, TX
  • NPI 1033174701
  Medicare reassignment Care Compare group NPD
• Blue Star Radiology Associates

  • Diagnostic Radiology Physician
  • Flower Mound, TX
  • NPI 1265745632
  Medicare reassignment NPD
• North Star Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1467787739
  Medicare reassignment NPD
• North Star FP, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1033630835
  Medicare reassignment NPD
• North Star NPT LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1699387647
  Medicare reassignment NPD
• Orthopedic Associates of Flower Mound PLLC

  • Orthopaedic Surgery Physician
  • Flower Mound, TX
  • NPI 1013689769
  Medicare reassignment NPD
• University of Texas Health Science Center at San Antonio

  dba UT Health Physicians

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717

  Diagnostic Radiology

  Medicare reassignment NPD
• North Star CN, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Carrollton, TX
  • NPI 1013305945
  Medicare reassignment
• Blue Stone Frisco JV, LLP

  dba Blue Star Imaging at The Star

  • Physiological Laboratory
  • Frisco, TX
  • NPI 1700394392
  NPD
• Lubbock Open Air MRI Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Lubbock, TX
  • NPI 1568695625
  NPD

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1407268964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR # MC7977",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-358-4000",
            "fax_number": "210-567-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000",
            "fax_number": "210-567-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "ZACHARY",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "R4697",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R4697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "411950502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411950501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Fulton, OTA
• Rebecca J Fulton
• Ryan E Fulton, AS
• Teresa Fulton
• Yvonne Ying Fulton, LMT114013
• Tristan Fun, MD
• Functional Aim Chiropractic
• Functional Neurorestoration Institute PLLC
• Functional Rd, LLC
• Functional Solutions Therapy Services

• Neuroradiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Neuroradiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.