Juan Carlos Zelaya, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0001571 Issued in MD

Practice address

305 10TH St Ste 104
Pocomoke City, MD 21851-1607

Phone

(410) 957-0273

Fax

(410) 957-0152

NPI assigned

May 23, 2005

Last updated

Oct 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juan.zelaya.1@3167.direct.athenahealth.com
• Direct secure messaging: juan.zelaya@forefrontdermatology.emadirect.md

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.

• Three Lower Counties Community Services, Inc.

  dba Chesapeake Health Care

  • Federally Qualified Health Center (FQHC)
  • Princess Anne, MD
  • NPI 1154354744
  Medicare reassignment NPD
• Three Lower Counties Community Services Inc

  dba Delmarva Pharmacy

  • Community/Retail Pharmacy
  • Salisbury, MD
  • NPI 1194768473
  NPD
• Three Lower Counties Community Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Salisbury, MD
  • NPI 1275405714
  NPD
• Ability Rehab Associates

  • Physical Medicine & Rehabilitation Physician
  • Salisbury, MD
  • NPI 1356444590
  NPD (past)
• Three Lower Counties Community Services, Inc.

  dba Chesapeake Health Care

  • Federally Qualified Health Center (FQHC)
  • Princess Anne, MD
  • NPI 1376710111
  NPD (past)
• Three Lower Counties Community Services, Inc.

  dba Chesapeake Health Care

  • Federally Qualified Health Center (FQHC)
  • Princess Anne, MD
  • NPI 1407849920
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1578566790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1978",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218021978",
            "telephone_number": "410-749-1015",
            "fax_number": "410-749-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 10TH ST STE 104",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511607",
            "telephone_number": "410-957-0273",
            "fax_number": "410-957-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELAYA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean-Luke Michael Webster, PHARM D
• John David Whittaker, M.D.
• Shelley Wilson
• Worcester County Health Department
• Ydiprmc LLC

• Physician Assistant in Pocomoke City, MD
• Providers in Pocomoke City, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.