Individual provider Active NPI

Mark Zakula, M.D.

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1932164472
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H3205 Issued in TX
Practice address
111 Dallas St
Emergency Room
San Antonio, TX 78205-1201
Phone
(210) 614-0180
Fax
(210) 615-7170
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X H3205 TX
Emergency Medicine Physician 207P00000X H3205 TX Primary

Addresses

Primary practice location

111 Dallas St
Emergency Room
San Antonio, TX 78205-1201

Mailing address

8686 New Trails Dr
Ste 100
The Woodlands, TX 77381-1176
Phone (713) 637-1146

Other identifiers 3

IdentifierTypeStateIssuer
131358701MedicaidTX
131358707MedicaidTX
8N2620OtherTXBCBS

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
I20051117000521 TX Practitioner - Emergency Medicine 3476572546 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H3205TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Hospital District CurrentSince Apr 23, 2017 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Apr 15, 2017 Accepting new patients
Bexar Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Lone Star Emergency Associates LLC Emergency Medicine CurrentSince Apr 3, 2018 Accepting new patients
Emergency Hospital Systems LLC CurrentSince Jul 5, 2018 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Mar 17, 2018 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 9, 2020 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Mar 17, 2018 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 9, 2020 Accepting new patients
Jackson County Hospital District Emergency Medicine CurrentSince Apr 23, 2017 Accepting new patients
Leading Edge Emergency Physicians, Inc Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

5330 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 877-8000

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

11130 Christus Hls
Ste 119
San Antonio, TX 78251
Phone (210) 703-9800

11503 NW Military Hwy
Ste 122
San Antonio, TX 78231
Phone (210) 853-1500

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Organizations & group practices 12

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1932164472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 NEW TRAILS DR",
            "address_2": "STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811176",
            "telephone_number": "713-637-1146",
            "fax_number": "281-298-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DALLAS ST",
            "address_2": "EMERGENCY ROOM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051201",
            "telephone_number": "210-614-0180",
            "fax_number": "210-615-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKULA",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "H3205",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H3205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131358701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131358707",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N2620",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.