Individual provider Active NPI

Rafael Canadas-Zizzias, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1801897616
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1382 Issued in TX
Practice address
12201 Merit Dr
Suite 180
Dallas, TX 75251-2213
Phone
(972) 385-9700
Fax
(972) 385-9790
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1382 TX Primary

Addresses

Primary practice location

12201 Merit Dr
Suite 180
Dallas, TX 75251-2213

Mailing address

12201 Merit Dr
Suite 180
Dallas, TX 75251-2213
Phone (972) 385-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000784 TX Practitioner - Internal Medicine 5294826236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12201 Merit Dr
Suite 180
Dallas, TX 75251-3124
Phone (972) 385-9700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rafael Canadas MD PA Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients

Locations

7777 Forest Ln
Ste C502
Dallas, TX 75230
Phone (972) 566-2234

12201 Merit Dr
Ste 180
Dallas, TX 75251
Phone (972) 385-9700

Interoperability endpoints

  • Direct secure messaging: rafael.canadaszizzias@rcmd.eclinicaldirectplus.com

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1801897616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR",
            "address_2": "SUITE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512213",
            "telephone_number": "972-385-9700",
            "fax_number": "972-385-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR",
            "address_2": "SUITE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512213",
            "telephone_number": "972-385-9700",
            "fax_number": "972-385-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADAS-ZIZZIAS",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.