Individual provider Active NPI

Jose Fernando Pareja Zabala

  • Sleep Medicine (Family Medicine) Physician
  • Delafield, WI
National Provider Identifier
1407389414
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
75540 Issued in WI
Practice address
2301 Sun Valley Dr
Delafield, WI 53018-2318
Phone
(262) 928-4043
NPI assigned
Apr 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Sleep Medicine (Family Medicine) Physician 207QS1201X 75540 WI Primary

Addresses

Primary practice location

2301 Sun Valley Dr
Delafield, WI 53018-2318

Mailing address

2301 Sun Valley Dr
Delafield, WI 53018-2318
Phone (262) 928-4043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20210825002601 WI Practitioner - Sleep Medicine 9133524358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians

Practice addresses (Care Compare)

2301 Sun Valley Dr
Delafield, WI 53018-2318
Phone (262) 928-4043

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Medical Group Inc CurrentSince Aug 1, 2021 Accepting new patients
Prohealth Medical Group Inc. CurrentSince Aug 1, 2021 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

2301 Sun Valley Dr
Ste 300
Delafield, WI 53018
Phone (262) 522-3070

2301 Sun Valley Dr
Delafield, WI 53018
Phone (262) 928-4043

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Interoperability endpoints

  • Direct secure messaging: jparejazabala152547@direct.phci.org
  • Direct secure messaging: jose.pareja@direct.myhealthep.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1407389414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 SUN VALLEY DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182318",
            "telephone_number": "262-928-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 SUN VALLEY DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182318",
            "telephone_number": "262-928-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREJA ZABALA",
        "first_name": "JOSE",
        "middle_name": "FERNANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "WI",
            "license": "75540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delafield, WI

Sources for this page

Verify at the official NPI Registry.