Individual provider Active NPI

Fernando Jose Colato Zavaleta

  • Cardiovascular Disease Physician
  • Bryan, TX
National Provider Identifier
1669630737
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
P9061 Issued in TX
Practice address
2700 E 29TH St Ste 220
Bryan, TX 77802-2586
Phone
(979) 774-4008
Fax
(979) 731-8418
NPI assigned
May 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X P9061 TX Primary

Addresses

Primary practice location

2700 E 29TH St Ste 220
Bryan, TX 77802-2586

Mailing address

PO Box 674098
Dallas, TX 75267-4098
Phone (979) 774-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140828001051 TX Practitioner - Cardiovascular Disease (Cardiology) 3779701073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Heart CenterGroup PAC ID 6901880863, 10 clinicians
Cardiac Cath Lab of Bryan College Station LPGroup PAC ID 8628296738, 8 clinicians

Practice addresses (Care Compare)

2700 E 29TH St
Suite 220
Bryan, TX 77802-2586
Phone (409) 774-4008

3201 University Dr E
Suite 420
Bryan, TX 77802-3479
Phone (979) 485-9922

Hospital & facility affiliations

  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
  • Bellville Medical Center Hospital, Bellville, TX, CCN 450253
  • Baylor St Lukes Medical Center Hospital, Houston, TX, CCN 450193
  • Burleson St Joseph Health Center Hospital, Caldwell, TX, CCN 451305
  • Madison St Joseph Health Center Hospital, Madisonville, TX, CCN 451316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Heart Center Cardiovascular Disease CurrentSince Aug 1, 2014 Accepting new patients
Cardiac Cath Lab of Bryan College Station, LP CurrentSince Oct 6, 2014 Accepting new patients

Locations

3201 University Dr E
Ste 420
Bryan, TX 77802
Phone (979) 485-9922

2700 E 29th St
Ste 220
Bryan, TX 77802
Phone (409) 774-4008

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIIEBD

Organizations & group practices 2

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 8

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1669630737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674098",
            "telephone_number": "979-774-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST STE 220",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022586",
            "telephone_number": "979-774-4008",
            "fax_number": "979-731-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLATO ZAVALETA",
        "first_name": "FERNANDO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P9061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.