NPIMap

Individual provider Active NPI

Edwin Silva Zapata, M.D.

  • Family Medicine Physician
  • High Point, NC
National Provider Identifier
1760896518
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-01943 Issued in NC
Practice address
4515 Premier Dr Ste 204
High Point, NC 27265
Phone
(336) 802-2075
Fax
(336) 802-2076
NPI assigned
Jun 19, 2014
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017-01943 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4515 Premier Dr Ste 204
High Point, NC 27265

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331

Other practice location 1

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7000

Other practice location 2

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-4382

Other practice location 3

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-4382

Other names 1

  • Edwin Silva Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012000985 NC Practitioner - Family Practice 0648545996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

4515 Premier Dr
Suite 204
High Point, NC 27265-8356
Phone (336) 802-2075

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-01943NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Oct 28, 2019 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Sep 1, 2017 Accepting new patients
Wake Forest Health Network LLC CurrentSince Oct 28, 2019 Accepting new patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
Wake Forest Health Network LLC Family Medicine Past Accepting new patients
Cornerstone Health Care LLC Past Accepting new patients

Locations

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

4515 Premier Dr
Ste 204
High Point, NC 27265
Phone (336) 802-2015

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1760896518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 PREMIER DR STE 204",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27265",
            "telephone_number": "336-802-2075",
            "fax_number": "336-802-2076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107014006",
            "country_code": "US",
            "telephone_number": "914-378-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-832-4382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-832-4382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA ZAPATA",
        "first_name": "EDWIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-01943",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWIN",
            "last_name": "SILVA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.