NPIMap

Organization Active NPI

Hilbert Zeballos PA

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1629413125
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME90229 Issued in FL
Legal business name
HILBERT ZEBALLOS PA
Practice address
903 Balmoral Way
Melbourne, FL 32940-2402
Phone
(321) 208-1883
Fax
(321) 208-1883
NPI assigned
May 9, 2013
Last updated
May 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Dr. Hilbert Ciceron Zeballos, M.D.NPI 1700807526
Title
Owner
Phone
(321) 208-1883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME90229 FL Primary

Addresses

Primary practice location

903 Balmoral Way
Melbourne, FL 32940-2402

Mailing address

903 Balmoral Way
Melbourne, FL 32940-2402
Phone (321) 208-1883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130724000207 FL Part B Supplier - Clinic/Group Practice 5496996068 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1629413125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BALMORAL WAY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402402",
            "telephone_number": "321-208-1883",
            "fax_number": "321-208-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BALMORAL WAY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402402",
            "telephone_number": "321-208-1883",
            "fax_number": "321-208-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILBERT ZEBALLOS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "ZEBALLOS",
        "authorized_official_first_name": "HILBERT",
        "authorized_official_middle_name": "CICERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-208-1883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME90229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.