Active NPI
Thomas P Zavaleta, MD
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1689680944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E2961
- Practice address
- 3708 Jefferson St
Ste a
Austin, TX 78731-6206 - Phone
- (512) 459-6503
- Fax
- (512) 454-7453
- NPI assigned
- Jul 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E2961 | TX | Primary |
Addresses
Primary practice location
3708 Jefferson St
Ste a
Austin, TX 78731-6206
Mailing address
3708 Jefferson St
Ste a
Austin, TX 78731-6206
Phone (512) 459-6503
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB125226 | Other | TX | WELLMED PTAN |
| 115714105 | Medicaid | TX | |
| 115714102 | Medicaid | TX | |
| 115714104 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2961 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMG Medical Group, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Medicine Physician
- Austin, TX
- NPI 1770773202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1689680944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3708 JEFFERSON ST",
"address_2": "STE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316206",
"telephone_number": "512-459-6503",
"fax_number": "512-454-7453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 JEFFERSON ST",
"address_2": "STE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316206",
"telephone_number": "512-459-6503",
"fax_number": "512-454-7453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVALETA",
"first_name": "THOMAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E2961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED PTAN",
"identifier": "TXB125226",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115714105",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115714102",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115714104",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.