Individual provider Active NPI

Raul Zayas, MD

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1942252549
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G9904 Issued in TX
Practice address
11880 Vista del Sol Dr
El Paso, TX 79936-6128
Phone
(915) 855-7900
Fax
(915) 855-7755
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G9904 TX Primary

Addresses

Primary practice location

11880 Vista del Sol Dr
El Paso, TX 79936-6128

Mailing address

11880 Vista del Sol Dr
El Paso, TX 79936-6128
Phone (915) 855-7900

Other identifiers 4

IdentifierTypeStateIssuer
00010504MedicaidNM
111942204MedicaidTX
111942205MedicaidTX
1119422-01MedicaidTX

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
I20040804001670 TX Practitioner - Family Practice 7113998840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ponce School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Primary Healthcare Physicians, P.a.Group PAC ID 6406873553, 5 clinicians
S and G Medical Services PLLCGroup PAC ID 0244513968, 2 clinicians

Practice addresses (Care Compare)

11880 Vista del Sol Dr
El Paso, TX 79936-6128
Phone (915) 855-7900

5140 Montana Ave
El Paso, TX 79903-4904
Phone (915) 598-2225

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Primary Healthcare Physicians, P.a. CurrentSince Oct 1, 2012 Accepting new patients
S & G Medical Services PLLC Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
El Paso Physician Group PA Family Medicine Past Accepting new patients
Advanced Cardiology Care, PA PastSince May 26, 2024 Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

12410 Montwood Dr
Ste A
El Paso, TX 79928
Phone (915) 231-6224

11880 Vista del Sol Dr
El Paso, TX 79936
Phone (915) 855-7900

11601 Pellicano Dr
Ste C6
El Paso, TX 79936

5140 Montana Ave
El Paso, TX 79903
Phone (915) 544-8844

12350 Montwood Dr
Ste 300
El Paso, TX 79928
Phone (915) 231-6224

Interoperability endpoints

  • Direct secure messaging: drzayas@primaryhealthcare.direct.emds.com
  • Direct secure messaging: rzayas@epfpc.gwaydirect.com

Organizations & group practices 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1942252549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 VISTA DEL SOL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366128",
            "telephone_number": "915-855-7900",
            "fax_number": "915-855-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 VISTA DEL SOL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366128",
            "telephone_number": "915-855-7900",
            "fax_number": "915-855-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAS",
        "first_name": "RAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G9904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00010504",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111942204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111942205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119422-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.