Active NPI
Hernan Mario Zegarra, M.D.
- General Practice Physician
- Garden City, KS
National Provider Identifier
1801979182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 04-23654
- Practice address
- 2808 N C St
Garden City, KS 67846-2722 - Phone
- (620) 937-8900
- Fax
- (620) 272-0479
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 04-23654 | KS | Primary |
Addresses
Primary practice location
2808 N C St
Garden City, KS 67846-2722
Mailing address
2808 N C St
Garden City, KS 67846-2722
Phone (620) 937-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160225001780 | KS | Order and Referring Only - Family Practice | 2769787936 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-23654 | KS | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1801979182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 N C ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678462722",
"telephone_number": "620-937-8900",
"fax_number": "620-272-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 N C ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678462722",
"telephone_number": "620-937-8900",
"fax_number": "620-272-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEGARRA",
"first_name": "HERNAN",
"middle_name": "MARIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KS",
"license": "04-23654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.