Individual provider Active NPI

Robert Panzarella, MD

  • Emergency Medicine Physician
  • Baytown, TX
National Provider Identifier
1467536144
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
F7026 Issued in TX
Practice address
4401 Garth Rd
Baytown, TX 77521-2122
Phone
(616) 734-0335
Fax
(616) 949-8540
NPI assigned
Oct 25, 2006
Last updated
Nov 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X F7026 TX Primary

Addresses

Primary practice location

4401 Garth Rd
Baytown, TX 77521-2122

Mailing address

2306 Woods Estates Dr
Humble, TX 77339-2548
Phone (281) 359-4260

Other identifiers 2

IdentifierTypeStateIssuer
139751506MedicaidTX
8BE063OtherTXBCBSTX PROVIDER NO

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
I20080103000350 TX Practitioner - Emergency Medicine 9032299045 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F7026TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Bay Area Emergency Physicians Emergency Medicine Past Accepting new patients
Afton Oaks Emergency Consultants PA Emergency Medicine Past Accepting new patients

Locations

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

Interoperability endpoints

  • Direct secure messaging: robert.panzarella.1@13131.direct.athenahealth.com

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, 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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1467536144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 WOODS ESTATES DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773392548",
            "telephone_number": "281-359-4260",
            "fax_number": "281-359-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212122",
            "telephone_number": "616-734-0335",
            "fax_number": "616-949-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZARELLA",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F7026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139751506",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDER NO",
            "identifier": "8BE063",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.