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OMAR A ZANTUA M.D.
NPI 1083675359
Internal Medicine - Geriatric Medicine in Houston, TX

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
8511 S SAM HOUSTON PKWY E, 101, HOUSTON, TX 77075(713) 343-2301 Get Directions Write a Review

NPPES record last updated: April 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omar A Zantua M.d. NPPES

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

OMAR A ZANTUA M.D. (NPI 1083675359) is an individual geriatric medicine provider in Houston, Texas, licensed in Texas (M0614) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1083675359
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameOMAR A ZANTUACredential: M.D.
Location Address8511 S SAM HOUSTON PKWY E, 101Houston, TX 77075-4857
Mailing Address8511 S Sam Houston Pkwy E, 101Houston, TX 77075-4857 · (713) 343-2301
Phone(713) 343-2301
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 28, 2006
Last NPPES UpdateApril 4, 2014
✔ NPI 1083675359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in TX · M0614
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
8511 S SAM HOUSTON PKWY E, Houston, TX 77075
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Other Identifiers 3

Medicare ID-Type Unspecified8G2529TX · Medicare Provider Number
Medicaid173870002TX
Medicare UPINH63938TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Omar A Zantua 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 ID8820047459
PECOS Enrollment IDI20050120000567
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 11

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
618 services119 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
596 services113 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
216 services62 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
67 services63 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
65 services63 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
55 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77075 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%294 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers44 claims44 services$22.18 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
2 suppliers11 claims132 services$1.94 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
2 suppliers34 claims34 services$4.34 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers47 claims48 services$7.31 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier12 claims12 services$3.53 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier21 claims1,050 services$0.23 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 19

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

ANNE NDUNGE NDOLO NP
Nurse Practitioner (Adult Health)
8511 S SAM HOUSTON PKWY E, SUITE 101
HOUSTON, TX 77075
Harris County (713) 343-2301
GERIATRIC ASSOCIATES OF AMERICA, P.A.
Family Medicine (Geriatric Medicine)
8511 S SAM HOUSTON PKWY E, 101
HOUSTON, TX 77075
Harris County (713) 343-2300
PATRICE BARNUM MD
Internal Medicine (Geriatric Medicine)
8511 S SAM HOUSTON PKWY E, SUITE 101
HOUSTON, TX 77075
Harris County (713) 343-2301
MELINDA LOUISE SUGG FNP
Nurse Practitioner (Family)
8511 S SAM HOUSTON PKWY E, 101
HOUSTON, TX 77075
Harris County (713) 343-2301
DONNA LEAKE HAMBY
Nurse Practitioner (Acute Care)
8511 S SAM HOUSTON PKWY E, SUITE 101
HOUSTON, TX 77075
Harris County (713) 343-2301
DR. TERESA L ALBRIGHT M.D.
Family Medicine (Geriatric Medicine)
8511 S SAM HOUSTON PKWY E, SUITE 101
HOUSTON, TX 77075
Harris County (713) 343-2300
SARA WASHA APRN, BC
Nurse Practitioner (Gerontology)
8511 S SAM HOUSTON PKWY E, 101
HOUSTON, TX 77075
Harris County (713) 343-2301
DR. DEBORAH MARCIA MCKAY MD
Internal Medicine (Geriatric Medicine)
8511 S SAM HOUSTON PKWY E, SUITE 101
HOUSTON, TX 77075
Harris County (713) 343-2301

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 Omar Zantua's NPI number?

The NPI number for Omar Zantua is 1083675359. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Omar Zantua located?

Omar Zantua practices at 8511 S Sam Houston Pkwy E 101, Houston, TX 77075. The listed phone number is (713) 343-2301.

What is Omar Zantua's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Omar Zantua enrolled in Medicare?

Yes. Omar Zantua 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 Omar Zantua accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Omar Zantua 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.

When was this NPI record last updated?

The NPPES record for Omar Zantua was last updated on April 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.