Individual provider Active NPI

Raul Horacio Zambrano, MD

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1598736472
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.139023 Issued in OH
Practice address
1431 Wayne Ave
Dayton, OH 45410-1411
Phone
(937) 348-7001
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01081132A IN
Family Medicine Physician 207Q00000X 230369 NY
Family Medicine Physician 207Q00000X 35.139023 OH Primary

Addresses

Primary practice location

1431 Wayne Ave
Dayton, OH 45410-1411

Mailing address

30 W Monroe St Ste 1200
Chicago, IL 60603-2420
Phone (312) 733-9730

Other practice location 1

2429 Harrison Ave
Cincinnati, OH 45211-7915
Phone (513) 452-7005

Other practice location 2

300 W Veterans Blvd
Big Spring, TX 79720-5566
Phone (432) 264-4855

Other practice location 3

4271 W 3rd St
Dayton, OH 45417-1406
Phone (937) 348-7001

Other practice location 4

436 E Washington Blvd
Fort Wayne, IN 46802-3210
Phone (260) 209-7111

Other practice location 5

6410 Broadway Ave
Cleveland, OH 44105-1253
Phone (216) 303-7925

Other identifiers 1

IdentifierTypeStateIssuer
02533219MedicaidNY

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
I20191212001891 IN Practitioner - Family Practice 1951375096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Columbia University College of Physicians and Surgeons, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion General HospitalGroup PAC ID 9133023625, 115 clinicians

Practice addresses (Care Compare)

1411 W Bella Dr
Family Medicine Residency
Marion, IN 46953-5250
Phone (765) 660-7790

Hospital & facility affiliations

  • Elara Caring Home health agency, Kokomo, IN, CCN 157586
  • Angels of Mercy Homecare Home health agency, Marion, IN, CCN 157554
  • Marion General Hospital Hospital, Marion, IN, CCN 150011

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40
Cost
75.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01081132AINMDFamily Medicine Physician
230369NYMDFamily Medicine Physician
35.139023OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion General Hospital CurrentSince Aug 1, 2023 Accepting new patients
Marion General Hospital Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Sun River Health Inc. Past Accepting new patients
Major Hospital Past Accepting new patients
Sun River Health Inc Past Accepting new patients
Oak Street Health Physicians Group, PC Past Accepting new patients
Mid-Hudson Family Health Institute Family Medicine Past Accepting new patients

Locations

911 Marion Health Dr
Gas City, IN 46933
Phone (765) 660-7000

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

1389 N Baldwin Ave
Marion, IN 46952
Phone (765) 664-2671

1391 N Baldwin Ave
Marion, IN 46952
Phone (765) 660-7900

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

Interoperability endpoints

  • Direct secure messaging: rzambrano174236@aurora.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1598736472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MONROE ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032420",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 WAYNE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454101411",
            "telephone_number": "937-348-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2429 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452117915",
            "country_code": "US",
            "telephone_number": "513-452-7005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Big Spring",
            "state": "TX",
            "postal_code": "797205566",
            "country_code": "US",
            "telephone_number": "432-264-4855",
            "fax_number": "432-264-4878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4271 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454171406",
            "country_code": "US",
            "telephone_number": "937-348-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "436 E Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468023210",
            "country_code": "US",
            "telephone_number": "260-209-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441051253",
            "country_code": "US",
            "telephone_number": "216-303-7925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMBRANO",
        "first_name": "RAUL",
        "middle_name": "HORACIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01081132A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230369",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.139023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02533219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.