Individual provider Active NPI

Pawel A Zieba, MD

  • Neonatal-Perinatal Medicine Physician
  • Laredo, TX
National Provider Identifier
1699707794
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
V4631 Issued in TX
Practice address
Laredo Medical Center
1700 East Saunders St
Laredo, TX 78041-5474
Phone
(956) 796-4488
Fax
(956) 796-4453
NPI assigned
Jul 7, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 01072478A IN
Neonatal-Perinatal Medicine Physician 2080N0001X 15404 ND
Neonatal-Perinatal Medicine Physician 2080N0001X 45654 KY
Neonatal-Perinatal Medicine Physician 2080N0001X M-8701 ID
Neonatal-Perinatal Medicine Physician 2080N0001X V4631 TX Primary

Addresses

Primary practice location

Laredo Medical Center
1700 East Saunders St
Laredo, TX 78041-5474

Mailing address

Laredo Medical Center
1700 East Saunders St
Laredo, TX 78041-5474
Phone (956) 796-4488

Other practice location 1

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6443

Other practice location 2

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-5187

Other practice location 3

3000 32nd Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

Other identifiers 5

IdentifierTypeStateIssuer
138991OtherKYSIHO - KCNS
000000780853OtherKYANTHEM - KCNS
20034700MedicaidIN
50042407OtherLAPASSPORT - KCNS
64938848MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211005002696 IN Practitioner - Pediatric Medicine 4082862792 Reassigns benefits to 1 organization
I20250210000461 TX Practitioner - Pediatric Medicine 4082862792 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072478AINMDNeonatal-Perinatal Medicine Physician
45654KYMDNeonatal-Perinatal Medicine Physician
15404NDMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Physician Services of South Texas CurrentSince Jan 1, 2025 Accepting new patients
Children's Physician Services of South Texas CurrentSince Jan 1, 2025 Accepting new patients
Parkview Health System Inc Current Accepting new patients
Parkview Health System, Inc. CurrentSince Oct 29, 2021 Accepting new patients
Laredo Texas Hospital Company LP Past Accepting new patients
Children's Physician Services of South Texas Past Accepting new patients

Locations

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

11115 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-5400

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

4525 Ayers St
Corpus Christi, TX 78415
Phone (877) 324-7543

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

Interoperability endpoints

  • Direct secure messaging: pzieba611327@direct.multicare.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1699707794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAREDO MEDICAL CENTER",
            "address_2": "1700 EAST SAUNDERS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415474",
            "telephone_number": "956-796-4488",
            "fax_number": "956-796-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAREDO MEDICAL CENTER",
            "address_2": "1700 EAST SAUNDERS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415474",
            "telephone_number": "956-796-4488",
            "fax_number": "956-796-4453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11115 Parkview Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451701",
            "country_code": "US",
            "telephone_number": "260-672-6443",
            "fax_number": "260-672-6459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-5187",
            "fax_number": "208-625-6892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 32nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581036132",
            "country_code": "US",
            "telephone_number": "701-364-8000",
            "fax_number": "701-364-8078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEBA",
        "first_name": "PAWEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IN",
            "license": "01072478A",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "ND",
            "license": "15404",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KY",
            "license": "45654",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "ID",
            "license": "M-8701",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "V4631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - KCNS",
            "identifier": "138991",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - KCNS",
            "identifier": "000000780853",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20034700",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - KCNS",
            "identifier": "50042407",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64938848",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.