Individual provider Active NPI

Zenaida P Racasa-Aliyas, MD

  • Pediatrics Physician
  • Fort Worth, TX
National Provider Identifier
1720160351
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E9926 Issued in TX
Practice address
2106 N Main St
Fort Worth, TX 76106-8511
Phone
(817) 625-4254
Fax
(817) 625-8451
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E9926 TX Primary

Addresses

Primary practice location

2106 N Main St
Fort Worth, TX 76106-8511

Mailing address

2100 N Main St
Suite 215
Fort Worth, TX 76106-8570
Phone (817) 625-4254

Other identifiers 1

IdentifierTypeStateIssuer
0000LR93MedicaidTX

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E9926TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Worth Northside Community Health Center 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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720160351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST",
            "address_2": "SUITE 215",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761068570",
            "telephone_number": "817-625-4254",
            "fax_number": "817-625-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 N MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761068511",
            "telephone_number": "817-625-4254",
            "fax_number": "817-625-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACASA-ALIYAS",
        "first_name": "ZENAIDA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E9926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000LR93",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.