Active NPI
Raul Horacio Zambrano, MD
- Family Medicine Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.139023
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02533219 | Medicaid | NY |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1411 W Bella Dr
Family Medicine Residency
Marion, IN 46953-5250
Phone (765) 660-7790
Hospital & facility affiliations
- Elara Caring
- Angels of Mercy Homecare
- Marion General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.82 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01081132A | IN | MD | Family Medicine Physician |
| 230369 | NY | MD | Family Medicine Physician |
| 35.139023 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion General Hospital | Current | Accepting new patients | |
| Marion General Hospital | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Marion, IN
- NPI 1528099041
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Family Medicine Physician
- New Paltz, NY
- NPI 1326093642
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
-
- Federally Qualified Health Center (FQHC)
- Goshen, NY
- NPI 1598828386
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kokomo, IN
- NPI 1346255940
-
- Home Health Agency
- Marion, IN
- NPI 1265872972
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.