SANDRA GABRIELA CARIAS ZUNIGA MD
NPI 1114378940
Internal Medicine - Nephrology in Shelby, NC

Q: What is Sandra Carias Zuniga's NPI number?

The NPI number for Sandra Carias Zuniga is 1114378940. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Q: What is Sandra Carias Zuniga's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since June 22, 2016PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1019 N LAFAYETTE ST STE 1, SHELBY, NC 28150(704) 487-9766(704) 487-9891 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2021, Jun 28, 2016, Jun 22, 2016 (3 updates tracked since 2016).

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About Sandra Gabriela Carias Zuniga Md NPPES

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

SANDRA GABRIELA CARIAS ZUNIGA MD (NPI 1114378940) is an individual nephrology provider in Shelby, North Carolina, licensed in North Carolina (2020-03838) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Worcester, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1114378940

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameSANDRA GABRIELA CARIAS ZUNIGACredential: MD

Location Address1019 N LAFAYETTE ST STE 1Shelby, NC 28150-3746

Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 334-1000

Phone(704) 487-9766

Fax(704) 487-9891

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 22, 2016

Last NPPES UpdateJuly 12, 20213 updates tracked since enumeration

NPPES CertifiedJuly 12, 2021

✔ NPI 1114378940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NC · 2020-03838

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1019 N LAFAYETTE ST STE 1, Shelby, NC 28150

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Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC.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

Sandra Gabriela Carias Zuniga Md 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 ID3072808484

PECOS Enrollment IDI20241011001519

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 7

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 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.

327 services251 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

277 services94 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

241 services53 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

92 services26 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

74 services29 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

54 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28150 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

1 supplier14 claims4,260 services$1.18 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims1,650 services$0.01 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims1,800 services$0.99 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier13 claims13 services$18.92 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier28 claims28 services$12.18 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 3

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

JOSE DANIEL MENA PASQUEL MD

Internal Medicine (Nephrology)

1019 N LAFAYETTE ST STE 1
SHELBY, NC 28150

Cleveland County (704) 487-9766

VIJAYA CHELIKANI MD

Internal Medicine (Nephrology)

1019 N LAFAYETTE ST STE 1
SHELBY, NC 28150

Cleveland County (704) 481-7904

MAHAM ALI MD

Internal Medicine (Nephrology)

1019 N LAFAYETTE ST STE 1
SHELBY, NC 28150

Cleveland County (704) 487-9766

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 Sandra Carias Zuniga's NPI number?

The NPI number for Sandra Carias Zuniga is 1114378940. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Sandra Carias Zuniga located?

Sandra Carias Zuniga practices at 1019 N Lafayette St Ste 1, Shelby, NC 28150. The listed phone number is (704) 487-9766.

What is Sandra Carias Zuniga's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sandra Carias Zuniga enrolled in Medicare?

Yes. Sandra Carias Zuniga 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 Sandra Carias Zuniga accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Sandra Carias Zuniga 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 Sandra Carias Zuniga was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.