Individual provider Active NPI

Mario Phillip Zamora, MD

  • Neurology Physician
  • The Woodlands, TX
National Provider Identifier
1578098166
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
63866 Issued in TN
Practice address
17201 Interstate 45 S
The Woodlands, TX 77385-3311
Phone
(936) 270-3900
Fax
(936) 271-1584
NPI assigned
Apr 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25IA12408600 NJ
Vascular Neurology Physician 2084V0102X V1717 TX
Neurology Physician 2084N0400X 63866 TN Primary

Addresses

Primary practice location

17201 Interstate 45 S
The Woodlands, TX 77385-3311

Mailing address

17189 Interstate 45 S
Suite 675
The Woodlands, TX 77385-3320
Phone (936) 270-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220526000767 TN Practitioner - NeurologyPractitioner - Internal Medicine 0244501641 Reassigns benefits to 2 organizations
I20240717004053 TX Practitioner - Vascular SurgeryPractitioner - Neurology 0244501641 Reassigns benefits to 2 organizations
I20241024003814 NJ Practitioner - Neurology 0244501641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians
Nuview Health Texas PAGroup PAC ID 1951674464, 18 clinicians
ICU NJ PCGroup PAC ID 4082836697, 21 clinicians

Practice addresses (Care Compare)

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500

1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (561) 299-3667

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (561) 299-3667

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25IA12408600NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuview Health Texas PA Neurology CurrentSince Jan 15, 2025 Accepting new patients
ICU NJ, PC CurrentSince Oct 14, 2024 Accepting new patients
Nuview Telehealth, LLC Neurology CurrentSince Oct 11, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 5, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 5, 2024 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince May 1, 2022 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince May 1, 2022 Accepting new patients
Med Pharmacy Inc PastSince Aug 6, 2020 Accepting new patients
Methodist Radiology Associates, PLLC Past Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

340 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

326 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

6550 Fannin St
Ste 489
Houston, TX 77030
Phone (713) 441-2889

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

17189 Interstate 45 S
Ste 675
Shenandoah, TX 77385
Phone (936) 270-3900

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9

Organizations & group practices 9

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1578098166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S",
            "address_2": "SUITE 675",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773853320",
            "telephone_number": "936-270-3900",
            "fax_number": "936-271-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17201 INTERSTATE 45 S",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773853311",
            "telephone_number": "936-270-3900",
            "fax_number": "936-271-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "MARIO",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25IA12408600",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "V1717",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "63866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.