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ZANIRA FAZAL M.D.
NPI 1013228733
Internal Medicine in Lebanon, NH

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment
69.4/100
CMS Quality Rating
18 OLD ETNA RD, LEBANON, NH 03766(603) 650-4000 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2019, Aug 14, 2019 (2 updates tracked since 2019).

About Zanira Fazal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZANIRA FAZAL M.D. (NPI 1013228733) is an individual internal medicine provider in Lebanon, New Hampshire, licensed in New Hampshire (19882) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1013228733
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameZANIRA FAZALCredential: M.D.
Location Address18 OLD ETNA RDLebanon, NH 03766
Mailing Address1 Medical Center DrLebanon, NH 03756-0001 · (603) 650-4000
Phone(603) 650-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 28, 2010
Last NPPES UpdateSeptember 20, 20192 updates tracked since enumeration
✔ NPI 1013228733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NH · 19882✔ Licensed in TX · P6163
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
18 OLD ETNA RD, Lebanon, NH 03766
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Secondary Practice Location 1

Location 1701 S ZarzamoraSan Antonio, TX 78207 · Phone (210) 358-7835 · Fax (210) 358-7406

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zanira Fazal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426291774
PECOS Enrollment IDI20190913001963
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
114 services73 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services77 patients
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve G0513
Prolonged preventive service refers to an extended medical consultation or treatment beyond the usual time. This service, provided in an outpatient setting, involves direct patient contact for the first 30 minutes beyond the primary procedure. It's used when additional time is required to address preventive health needs.
66 services66 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 patients
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code G0514
Prolonged preventive service refers to additional time spent on preventive care beyond the standard duration. This could involve further discussions on lifestyle recommendations, management of chronic conditions, or additional screenings. The service is charged for each additional 30 minutes of direct patient contact in an office or outpatient setting.
58 services58 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services25 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Cheshire Medical Center

Acute Care Hospitals · Keene, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300019
Location580 Court StreetKeene, NH 03431 · Cheshire County
Emergency services Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Alice Peck Day Memorial Hospital

Critical Access Hospitals · Lebanon, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301305
Location10 Alice Peck Day DriveLebanon, NH 03766 · Grafton County
Emergency services

Mt Ascutney Hospital

Critical Access Hospitals · Windsor, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471302
Location289 County RoadWindsor, VT 05089 · Windsor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.64
Promoting Interoperability100
Improvement Activities40
Cost42.36

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$89.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$206.44 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$34.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN SIMMONS MD
Dermatology
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-3100
JEFFREY K SHORNICK MD
Dermatology
18 OLD ETNA RD, DHMC - DERMATOLOGY
LEBANON, NH 03766
Grafton County (603) 650-3100
NATHANIEL T SHERMAN PA-C
Physician Assistant
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-4000
JAMIE PLIMPTON PA-C
Physician Assistant
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-4000
CHRISTOPHER J VODILA ARNP
Nurse Practitioner (Family)
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-5000
ZOE FROLKING
Pediatrics
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-5000
DR. ELAINE LOUISE FLEMING M.D.
Internal Medicine
18 OLD ETNA RD, DHMC - INTERNAL MEDICINE
LEBANON, NH 03766
Grafton County (603) 650-4000
MS. AMBER R CASTELL APRN
Nurse Practitioner
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zanira Fazal's NPI number?

The NPI number for Zanira Fazal is 1013228733. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Zanira Fazal located?

Zanira Fazal practices at 18 Old Etna Rd, Lebanon, NH 03766. The listed phone number is (603) 650-4000.

What is Zanira Fazal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Zanira Fazal enrolled in Medicare?

Yes. Zanira Fazal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Zanira Fazal accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Molina Healthcare list Zanira Fazal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Zanira Fazal affiliated with any hospitals?

According to CMS data, Zanira Fazal is affiliated with Mary Hitchcock Memorial Hospital, Cheshire Medical Center, New London Hospital, Alice Peck Day Memorial Hospital and Mt Ascutney Hospital.

When was this NPI record last updated?

The NPPES record for Zanira Fazal was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.