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DR. MARISA ZULUAGA MD
NPI 1033415351
Emergency Medicine in Oakland, CA

Active since February 03, 2011PECOS Enrolled
91.04/100
CMS Quality Rating
1411 EAST 31ST STREET QIC 22123, HIGHLAND HOSPITAL, OAKLAND, CA 94602(510) 437-4564(510) 437-4564 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2021, Mar 22, 2017 (2 updates tracked since 2017).

About Dr. Marisa Zuluaga Md NPPES

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

DR. MARISA ZULUAGA MD (NPI 1033415351) is an individual emergency medicine provider in Oakland, California, licensed in California (A162157) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (2017).

NPPES Registry Identity

NPI1033415351
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARISA ZULUAGACredential: MD
Location Address1411 EAST 31ST STREET QIC 22123, HIGHLAND HOSPITALOakland, CA 94602
Mailing Address2070 Clinton AveAlameda, CA 94501-4399 · (510) 522-3700
Phone(510) 437-4564
Fax(510) 437-4564
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2017
Enumeration DateFebruary 3, 2011
Last NPPES UpdateApril 20, 20232 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1033415351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A162157
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1411 EAST 31ST STREET QIC 22123, Oakland, CA 94602
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marisa Zuluaga Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143629139
PECOS Enrollment IDI20210525000054
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
130 services125 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services37 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Other Providers at the Same Location NPPES

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

DR. SHANE PETRITES MD
Emergency Medicine
1411 EAST 31ST STREET QIC 22123
OAKLAND, CA 94602
Alameda County (510) 437-4564

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 Marisa Zuluaga's NPI number?

The NPI number for Marisa Zuluaga is 1033415351. It was assigned to this individual provider in the NPPES registry on February 3, 2011.

Where is Marisa Zuluaga located?

Marisa Zuluaga practices at 1411 East 31st Street Qic 22123 Highland Hospital, Oakland, CA 94602. The listed phone number is (510) 437-4564.

What is Marisa Zuluaga's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marisa Zuluaga enrolled in Medicare?

Yes. Marisa Zuluaga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marisa Zuluaga was last updated on April 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.