Individual provider Active NPI

Ajay Zachariah, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1427491869
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R3777 Issued in TX
Practice address
500 N Capital of Texas Hwy BLDG 6-125
Austin, TX 78746-3329
Phone
(855) 481-8375
NPI assigned
Apr 16, 2013
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R3777 TX Primary

Addresses

Primary practice location

500 N Capital of Texas Hwy BLDG 6-125
Austin, TX 78746-3329

Mailing address

201 University Oaks Blvd
Suite 1260
Round Rock, TX 78665
Phone (512) 324-4780

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
I20170906001542 TX Practitioner - Family Practice 8729382221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

505 W Louis Henna Blvd
Suite 100
Austin, TX 78728-1702
Phone (855) 481-8375

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3777TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Medical Group Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Airrosti Rehab Centers, LLC Past Accepting new patients

Locations

3200 Red River St
Ste 201
Austin, TX 78705
Phone (512) 473-0201

500 N Capital of Texas Hwy
Ste 125
Austin, TX 78746
Phone (512) 443-9355

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

507 Calles St
Ste 100
Austin, TX 78702

701 E FM 1626
Ste 100
Austin, TX 78748
Phone (512) 777-0884

911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 600-2888

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

455 University Blvd
Ste 400
Round Rock, TX 78665
Phone (512) 766-2171

511 Oakwood Blvd
Ste 200
Round Rock, TX 78681
Phone (512) 246-2262

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1427491869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNIVERSITY OAKS BLVD",
            "address_2": "SUITE 1260",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78665",
            "telephone_number": "512-324-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CAPITAL OF TEXAS HWY BLDG 6-125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787463329",
            "telephone_number": "855-481-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "AJAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R3777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.