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DOLORES CRISTINA MEDINA DE ZAPIEN M.D
NPI 1083969182
Pediatrics in Houston, TX

Active since July 16, 2012PECOS Enrolled
6641 HIGH STAR, HOUSTON, TX 77074(832) 548-5000 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2025, Jan 11, 2016 (2 updates tracked since 2016).

About Dolores Cristina Medina De Zapien M.d NPPES

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

DOLORES CRISTINA MEDINA DE ZAPIEN M.D (NPI 1083969182) is an individual pediatrics provider in Houston, Texas, licensed in Texas (Q2464) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083969182
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDOLORES CRISTINA MEDINA DE ZAPIENCredential: M.D
Location Address6641 HIGH STARHouston, TX 77074-5005
Mailing AddressPo Box 66308Houston, TX 77266-6308 · (832) 548-5000
Phone(832) 548-5000
Sole ProprietorNo
Enumeration DateJuly 16, 2012
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1083969182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · Q2464
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6641 HIGH STAR, Houston, TX 77074
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Other Identifiers 2

Other671985Lchs High Star Site Location Medicare #
Medicaid080462703TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dolores Cristina Medina De Zapien M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Dolores Medina De Zapien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Community Health Services, Inc
6.6 mi
Federally Qualified Health Center (FQHC)
1415 CALIFORNIA ST
Houston, TX 77006
  • Reassigned Medicare billing, Texas enrollment
  • 402 clinicians in this Medicare group
NPI 1679524961 (832) 548-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77074 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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.

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 Dolores Medina De Zapien's NPI number?

The NPI number for Dolores Medina De Zapien is 1083969182. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Where is Dolores Medina De Zapien located?

Dolores Medina De Zapien practices at 6641 High Star, Houston, TX 77074. The listed phone number is (832) 548-5000.

What is Dolores Medina De Zapien's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Dolores Medina De Zapien enrolled in Medicare?

Yes. Dolores Medina De Zapien is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dolores Medina De Zapien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dolores Medina De Zapien reassigns Medicare benefits to Legacy Community Health Services, Inc (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dolores Medina De Zapien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dolores Medina De Zapien accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Dolores Medina De Zapien 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 Dolores Medina De Zapien was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.