Individual provider Active NPI

Malissia D Zapata, MD

  • Gynecology Physician
  • Greenville, TX
National Provider Identifier
1922017748
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
L9970 Issued in TX
Practice address
4221 Ridgecrest Rd
Suite 109
Greenville, TX 75402-6005
Phone
(903) 455-9582
Fax
(903) 455-5689
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X L9970 TX Primary

Addresses

Primary practice location

4221 Ridgecrest Rd
Suite 109
Greenville, TX 75402-6005

Mailing address

4221 Ridgecrest Rd
Suite 109
Greenville, TX 75402-6005
Phone (903) 455-9582

Other identifiers 1

IdentifierTypeStateIssuer
752941533OtherTXTAX IDENTIFICATION NUMBER

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
I20041229000852 TX Practitioner - Obstetrics/Gynecology 5294793717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4221 Ridgecrest Rd
Suite 103
Greenville, TX 75402-6015
Phone (903) 454-2130

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zapata Women'S Health Center, P.C. CurrentSince Apr 17, 2011 Accepting new patients
Obhg Texas Holdings, P.a. CurrentSince Mar 1, 2020 Accepting new patients
Hunt Memorial Hospital District Past Accepting new patients
Hunt Memorial Hospital District Past Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

4221 Ridgecrest Rd
Ste 103
Greenville, TX 75402
Phone (903) 454-2130

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1922017748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 RIDGECREST RD",
            "address_2": "SUITE 109",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026005",
            "telephone_number": "903-455-9582",
            "fax_number": "903-455-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 RIDGECREST RD",
            "address_2": "SUITE 109",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026005",
            "telephone_number": "903-455-9582",
            "fax_number": "903-455-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPATA",
        "first_name": "MALISSIA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "L9970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "752941533",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.