NPIMap

Individual provider Active NPI

Edgar Zambrano, D.O.

  • Surgery Physician
  • Mount Pleasant, TX
National Provider Identifier
1780718767
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M4680 Issued in TX
Practice address
2015 Mulberry Ave
Suite 210
Mount Pleasant, TX 75455-2312
Phone
(903) 575-9408
NPI assigned
Mar 14, 2007
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M4680 TX Primary

Addresses

Primary practice location

2015 Mulberry Ave
Suite 210
Mount Pleasant, TX 75455-2312

Mailing address

PO Box 1685
Mount Pleasant, TX 75456-1685
Phone (903) 575-9408

Other identifiers 3

IdentifierTypeStateIssuer
8BS780OtherTXBLUE CROSS & BLUE SHIELD
P00676257OtherTXMEDICARE RAILROAD
191068902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080107000102 TX Practitioner - General Surgery 6305926163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgar Zambrano D.O, P.aGroup PAC ID 7911073317, 3 clinicians

Practice addresses (Care Compare)

2015 Mulberry Ave
Suite 210
Mount Pleasant, TX 75455-2319
Phone (903) 575-9408

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1934
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edgar Zambrano D.O, P.a Surgery CurrentSince Jun 23, 2008 Accepting new patients

Locations

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

2300 Clear Creek Rd
Ste 101
Killeen, TX 76549
Phone (254) 526-2985

5610 E Central Texas Expy
Ste 5
Killeen, TX 76543
Phone (254) 519-8980

2015 Mulberry Ave
Ste 210
Mt Pleasant, TX 75455
Phone (903) 434-8073

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1780718767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1685",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754561685",
            "telephone_number": "903-575-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MULBERRY AVE",
            "address_2": "SUITE 210",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552312",
            "telephone_number": "903-575-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANO",
        "first_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M4680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "8BS780",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00676257",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191068902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.