Individual provider Active NPI

Zachary Cerini, M.D.

  • Family Medicine Physician
  • Beaumont, TX
National Provider Identifier
1487916102
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q2749 Issued in TX
Practice address
5875 N Major Dr
Beaumont, TX 77713-9034
Phone
(409) 892-2262
Fax
(409) 892-3336
NPI assigned
Jun 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q2749 TX Primary
Family Medicine Physician 207Q00000X MT202162 PA

Addresses

Primary practice location

5875 N Major Dr
Beaumont, TX 77713-9034

Mailing address

919 Hidden RDG
Irving, TX 75038-3813
Phone (469) 282-2711

Other identifiers 1

IdentifierTypeStateIssuer
348589802MedicaidTX

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
I20150710000196 TX Practitioner - Family Practice 0143532705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Carenow Urgent Care PLLC 101 clinicians

Practice addresses (Care Compare)

4810 Gattis School Rd
Suite 100
Hutto, TX 78634-2037
Phone (512) 312-7230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT202162PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Carenow Urgent Care, PLLC Family Medicine CurrentSince May 16, 2019 Accepting new patients
St. David'S Carenow Urgent Care PLLC Family Medicine CurrentSince Jul 23, 2017 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980

5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000

4810 Gattis School Rd
Ste 100
Hutto, TX 78634
Phone (512) 312-7230

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1487916102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 N MAJOR DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139034",
            "telephone_number": "409-892-2262",
            "fax_number": "409-892-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERINI",
        "first_name": "ZACHARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q2749",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT202162",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348589802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.