Individual provider Active NPI

Jose Miguel Zapatero, MD

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1639266125
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
320623 Issued in LA
Practice address
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone
(306) 626-0000
Fax
(318) 629-4833
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 320623 LA Primary
Family Medicine Physician 207Q00000X ME 96718 FL
Family Medicine Physician 207Q00000X 45499 MN
Family Medicine Physician 207Q00000X 050856 GA
Family Medicine Physician 207Q00000X MD - 11932 HI
Family Medicine Physician 207Q00000X MD073815L PA
Family Medicine Physician 207Q00000X 336-067050 IL
Family Medicine Physician 207Q00000X D0062163 MD
Family Medicine Physician 207Q00000X 22708 SC

Addresses

Primary practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1512 W Kirby PL
Shreveport, LA 71103-3822

Other practice location 1

206 Blueberry Ct
Perkasie, PA 18944-5432
Phone (215) 257-1636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20200402003056 LA Practitioner - Family Practice 4880584382 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JS Weill Medical College, Cornell University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 96718FLMDFamily Medicine Physician
050856GAMDFamily Medicine Physician
MD - 11932HIMDFamily Medicine Physician
336-067050ILMDFamily Medicine Physician
320623LAMDFamily Medicine Physician
D0062163MDMDFamily Medicine Physician
45499MNMDFamily Medicine Physician
MD073815LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C H Wilkinson Physician Network CurrentSince Mar 30, 2020 Accepting new patients
C H Wilkinson Physician Network Family Medicine CurrentSince Mar 30, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2020 Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
University Health Shreveport LLC Past Accepting new patients
Centra Medical Group Southside, LLC Family Medicine Past Accepting new patients
Rush University Medical Center Family Medicine Past Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients
Affiliated Community Medical Centers, LTD Past Accepting new patients

Locations

3000 S MacArthur Dr
Alexandria, LA 71301
Phone (318) 448-6800

4481 Viking Dr
Bossier City, LA 71111
Phone (318) 626-2593

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

6670 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 626-0500

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500

1023 Provenance Pl
Ste 130
Shreveport, LA 71106
Phone (318) 626-0100

Interoperability endpoints

  • Direct secure messaging: jzapatero265604@christushealth.direct-ci.net
  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 12

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1639266125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W KIRBY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "306-626-0000",
            "fax_number": "318-629-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Blueberry Ct",
            "address_purpose": "LOCATION",
            "city": "Perkasie",
            "state": "PA",
            "postal_code": "189445432",
            "country_code": "US",
            "telephone_number": "215-257-1636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAPATERO",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "320623",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 96718",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "45499",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050856",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD - 11932",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD073815L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "336-067050",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0062163",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "22708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.