Individual provider Active NPI

Henry M. Zuniga, MD

  • Obstetrics & Gynecology Physician
  • Newburgh, IN
National Provider Identifier
1477553501
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01049865A Issued in IN
Practice address
4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone
(812) 842-4200
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01049865A IN Primary

Addresses

Primary practice location

4199 Gateway Blvd
Newburgh, IN 47630-8940

Mailing address

PO Box 3415
Munster, IN 46321-0415
Phone (219) 836-0000

Other practice location 1

110 Ridge Rd
Suite 2
Munster, IN 46321-1574
Phone (219) 836-0000

Other identifiers 3

IdentifierTypeStateIssuer
200214030MedicaidIN
256700DOtherINMEDICARE PTAN
300035675MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080529000127 IN Practitioner - Obstetrics/Gynecology 8921178377 Reassigns benefits to 1 organization
Practice locations: Munster, IN

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Womens Hospital of Southern Indiana LLCGroup PAC ID 4183699432, 50 clinicians

Practice addresses (Care Compare)

4199 Gateway Blvd
Suite 3500
Newburgh, IN 47630-7909
Phone (812) 858-5950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049865AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Women'S Hospital of Southern Indiana, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients
Deaconess Women'S Hospital of Southern Indiana, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients
Deaconess Women'S Hospital of Southern Indiana, LLC Obstetrics & Gynecology Current Accepting new patients
New Harvest Therapy Services, Inc. PastSince Feb 5, 2021 Accepting new patients

Locations

4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200

4199 Gateway Blvd
Ste 3500
Newburgh, IN 47630
Phone (812) 853-2600

Interoperability endpoints

  • Direct secure messaging: henry.zuniga.1@7598.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1477553501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3415",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210415",
            "telephone_number": "219-836-0000",
            "fax_number": "219-836-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-842-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Ridge Rd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463211574",
            "country_code": "US",
            "telephone_number": "219-836-0000",
            "fax_number": "219-836-2788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "HENRY",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01049865A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200214030",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "256700D",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300035675",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.