DANIEL IVAN ZAPATA M.D.
NPI 1073803847
Internal Medicine - Pulmonary Disease in Miami, FL

Active since April 14, 2011PECOS EnrolledAccepts Medicare Assignment
11750 SW 40TH ST, MIAMI, FL 33175(305) 223-3000 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 21, 2022, Jan 7, 2022, Jun 17, 2019 and 2 more (5 updates tracked since 2017).

About Daniel Ivan Zapata M.d. NPPES

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

DANIEL IVAN ZAPATA M.D. (NPI 1073803847) is an individual pulmonary disease provider in Miami, Florida, licensed in Florida (ME131664) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Lower Keys Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073803847
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDANIEL IVAN ZAPATACredential: M.D.
Location Address11750 SW 40TH STMiami, FL 33175-3530
Mailing Address11750 Sw 40th StMiami, FL 33175-3530 · (305) 223-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 14, 2011
Last NPPES UpdateOctober 21, 20225 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
NPI 1073803847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in FL · ME131664 Licensed in NY · 273555
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 273555 (NY), ME131664 (FL)
11750 SW 40TH ST, Miami, FL 33175

Secondary Practice Locations 2

Location 1500 E 77th St, Apartment 1527New York, NY 10162-0025 · Phone (203) 536-9337
Location 24500 Parsons BlvdFlushing, NY 11355-2205 · Phone (718) 670-5000

Accepted 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

Daniel Ivan Zapata 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 ID1951679620
PECOS Enrollment IDI20191115002079
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 3

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.

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.
119 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Lower Keys Medical Center

Acute Care Hospitals · Key West, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100150
Location5900 College RoadKey West, FL 33040 · Monroe County
Emergency services Birthing friendly

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100209
Location11750 Bird RdMiami, FL 33175 · Miami-Dade County
Emergency services Birthing friendly

Keralty Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100284
Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

Internal Medicine (Critical Care Medicine)
11750 SW 40TH ST
MIAMI, FL 33175
Student in an Organized Health Care Education/Training Program
11750 SW 40TH ST
MIAMI, FL 33175
Radiology (Diagnostic Radiology)
11750 SW 40TH ST
MIAMI, FL 33175
Student in an Organized Health Care Education/Training Program
11750 SW 40TH ST
MIAMI, FL 33175
Student in an Organized Health Care Education/Training Program
11750 SW 40TH ST
MIAMI, FL 33175
Nurse Anesthetist, Certified Registered
11750 SW 40TH ST
MIAMI, FL 33175
Nurse Anesthetist, Certified Registered
11750 SW 40TH ST
MIAMI, FL 33175
Specialist/Technologist, Other (Surgical Assistant)
11750 SW 40TH ST
MIAMI, FL 33175

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 Daniel Zapata's NPI number?

The NPI number for Daniel Zapata is 1073803847. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Where is Daniel Zapata located?

Daniel Zapata practices at 11750 SW 40th St, Miami, FL 33175. The listed phone number is (305) 223-3000.

What is Daniel Zapata's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Daniel Zapata enrolled in Medicare?

Yes. Daniel Zapata 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 Daniel Zapata accept?

Health plans from AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida list Daniel Zapata 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 Daniel Zapata affiliated with any hospitals?

According to CMS data, Daniel Zapata is affiliated with Lower Keys Medical Center, Hca Florida Kendall Hospital and Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Zapata was last updated on October 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.