Individual provider Active NPI

Alfredo R Zarate, MD

  • Nephrology Physician
  • District Heights, MD
National Provider Identifier
1972690394
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D17461 Issued in MD
Practice address
5652 Silver Hill Rd
District Heights, MD 20747-1145
Phone
(301) 967-9891
Fax
(301) 967-6964
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D17461 MD Primary

Addresses

Primary practice location

5652 Silver Hill Rd
District Heights, MD 20747-1145

Mailing address

8128 Hamilton Spring Rd
Bethesda, MD 20817-2716
Phone (301) 469-5112

Other identifiers 2

IdentifierTypeStateIssuer
762571500MedicaidMD
017870500MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D17461MDMDNephrology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1972690394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8128 HAMILTON SPRING RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172716",
            "telephone_number": "301-469-5112",
            "fax_number": "301-468-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5652 SILVER HILL RD",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207471145",
            "telephone_number": "301-967-9891",
            "fax_number": "301-967-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARATE",
        "first_name": "ALFREDO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D17461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762571500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017870500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.