Active NPI
Emily Marie Zepeda, M.D.
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Oklahoma City, OK
National Provider Identifier
1790103067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- License
- 34768
- Practice address
- 608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065 - Phone
- (405) 271-1094
- Fax
- (405) 271-3013
- NPI assigned
- Apr 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301114270 | MI | |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | 34768 | OK | Primary |
Addresses
Primary practice location
608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Mailing address
608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Phone (405) 271-1094
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ezepeda@directdmei.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Walnut St
Suite 2
Wellesley, MA 02481-2103
Phone (617) 964-1050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34768 | OK | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Wellesley Eye Associates, P.C. | Ophthalmology | Current | Accepting new patients |
| Pratt Ophthalmology Associates Inc | Ophthalmology | Past | Accepting new patients |
Locations
2000 Washington St
Ste 462
Newton Lower Falls, MA 02462
Phone (617) 332-6311
60 Walnut St
Ste 2
Wellesley Hills, MA 02481
Phone (617) 964-1050
Interoperability endpoints
- zepeda.emily.nwh@direct.partners.masshiway.net
- ezepeda71246@ouhealth.direct-ci.net
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1083660534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1790103067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 STANTON L YOUNG BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045065",
"telephone_number": "405-271-1094",
"fax_number": "405-271-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 STANTON L YOUNG BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045065",
"telephone_number": "405-271-1094",
"fax_number": "405-271-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEPEDA",
"first_name": "EMILY",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-02",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301114270",
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "OK",
"license": "34768",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ezepeda@directdmei.org",
"affiliation": "N",
"address_1": "608 Stanton L Young Blvd",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731045065",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.