Capitol City Family Practice

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

K2143 Issued in TX

Legal business name

CAPITOL CITY FAMILY PRACTICE

Practice address

2100 E 6TH St
Suite B
Austin, TX 78702-3406

Phone

(512) 474-7824

Fax

(512) 474-1068

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Belda Zamora, M.D.NPI 1770594764

Title

President

Phone

(512) 474-7824

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Belda Zamora, MD

  • Family Medicine Physician
  • Austin, TX
  • NPI 1770594764
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1801094891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E 6TH ST",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023406",
            "telephone_number": "512-474-7824",
            "fax_number": "512-474-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E 6TH ST",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023406",
            "telephone_number": "512-474-7824",
            "fax_number": "512-474-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CITY FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "BELDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-474-7824",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "K2143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079969401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00137N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capital Surgeons Group, PLLC
• Capital Therapy Group, LLC
• Capital Toxicology, LLC
• Capitol Anesthesiology Association
• Capitol CC, Inc.
• Capitol City Health
• Capitol City Health & Rehabilitation Center, L.P.
• Capitol City Limo Austin
• Capitol City Limo of Austin
• Capitol Diversified Services, LLC

• Medical Specialty Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.