ADEEL ZIA
NPI 1215347570
Family Medicine in Kenner, LA

Q: What is Adeel Zia's NPI number?

The NPI number for Adeel Zia is 1215347570. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Q: What is Adeel Zia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Adeel Zia was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 07, 2014PECOS EnrolledAccepts Medicare Assignment

87.02/100

CMS Quality Rating

200 W ESPLANADE AVE, SUITE 409, KENNER, LA 70065(504) 471-2757 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Adeel Zia NPPES

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

ADEEL ZIA (NPI 1215347570) is an individual family medicine provider in Kenner, Louisiana, licensed in Louisiana (207Q00000X) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1215347570

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameADEEL ZIA

Location Address200 W ESPLANADE AVE, SUITE 409Kenner, LA 70065-2489

Mailing Address200 W Esplanade Ave, Suite 409Kenner, LA 70065-2489 · (504) 464-2943

Phone(504) 471-2757

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMay 7, 2014

Last NPPES UpdateAugust 28, 2015

✔ NPI 1215347570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · 207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 W ESPLANADE AVE, Kenner, LA 70065

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adeel Zia 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 ID1759680564

PECOS Enrollment IDI20170803000097

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 Reassignments

Medicare enrollment records show Adeel Zia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allevate Medical Group LLC

1,133 mi

Medical Specialty

707 STATE RD STE 105
Princeton, NJ 08540

Reassigned Medicare billing, New Jersey enrollment
10 clinicians in this Medicare group

NPI 1740091032 (732) 508-0306

Sai Inpatient Resources, LLC

1,134 mi

Internal Medicine

1 PLAINSBORO RD
Plainsboro, NJ 08536

Reassigned Medicare billing, New Jersey enrollment
49 clinicians in this Medicare group

NPI 1336267004 (609) 945-5724

The Radiology Group Of New Jersey, LLC

1,145 mi

Multi-Specialty

651 WILLOW GROVE ST
Hackettstown, NJ 07840

Reassigned Medicare billing, New Jersey enrollment
429 clinicians in this Medicare group

NPI 1174010540 (908) 979-1621

Central Jersey Urgent Care

1,154 mi

Urgent Care

731 HIGHWAY 35, UNIT G
Ocean, NJ 07712

Reassigned Medicare billing, New Jersey enrollment
130 clinicians in this Medicare group

NPI 1316285091 (732) 455-8444

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

Areas of Expertise CMS Part B claims 17

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.

540 services487 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.

286 services70 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

194 services179 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

156 services149 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

105 services105 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

90 services49 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

84 services77 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.

53 services20 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

50 services49 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.

41 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

36 services36 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

26 services26 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

26 services26 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.

21 services19 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

17 services17 patients

X-ray of ribs on side of body, minimum of 3 views 71101

This is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.

14 services13 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310010

LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70065 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

$86.76 typical visit price

range $55.50 – $170.30

Typical copayment $21.69 (range $13.87 – $42.57)

Most-billed visit code 99203

Established Patient

$98.35 typical visit price

range $17.42 – $138.03

Typical copayment $24.58 (range $4.35 – $34.50)

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.

87.02/100

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

Scored as part of a group practice

Quality

85.48

Improvement Activities

Cost

66.71

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.

KYLER FISK PA-C

Hospitalist

200 W ESPLANADE AVE
KENNER, LA 70065

Jefferson Parish (504) 464-8506

MICHAEL W HARTMAN M.D.

Orthopaedic Surgery (Sports Medicine)

200 W ESPLANADE AVE, SUITE 500
KENNER, LA 70065

Jefferson Parish (504) 412-1700

CLAUDIA PAGUADA GUEPET FNP-C

Nurse Practitioner (Family)

200 W ESPLANADE AVE
KENNER, LA 70065

Jefferson Parish (504) 464-8588

CHRISTI ROBINSON BSN, RN, CMSRN

Registered Nurse (Diabetes Educator)

200 W ESPLANADE AVE
KENNER, LA 70065

Jefferson Parish (504) 464-8178

DR. JULIE CHE WANG M.D.

Urology

200 W ESPLANADE AVE
KENNER, LA 70065

Jefferson Parish (504) 464-8588

EMMA CAMILLE SISK MD/MPH

Obstetrics & Gynecology

200 W ESPLANADE AVE
KENNER, LA 70065

Jefferson Parish (504) 464-8500

DR. KELLY LANIER PAULK M.D.

Physical Medicine & Rehabilitation (Pain Medicine)

200 W ESPLANADE AVE
KENNER, LA 70065

Jefferson Parish (504) 443-9500

AMY BETHANY FAVALORA FNP-C

Nurse Practitioner (Family)

200 W ESPLANADE AVE
KENNER, LA 70065

Jefferson Parish (985) 804-5633

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 Adeel Zia's NPI number?

The NPI number for Adeel Zia is 1215347570. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Adeel Zia located?

Adeel Zia practices at 200 W Esplanade Ave Suite 409, Kenner, LA 70065. The listed phone number is (504) 471-2757.

What is Adeel Zia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adeel Zia enrolled in Medicare?

Yes. Adeel Zia 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.

Which organizations bill Medicare for Adeel Zia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adeel Zia reassigns Medicare benefits to 4 organizations: Allevate Medical Group LLC (Princeton, NJ), Sai Inpatient Resources, LLC (Plainsboro, NJ), The Radiology Group Of New Jersey, LLC (Hackettstown, NJ) and Central Jersey Urgent Care (Ocean, NJ). Each 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 Adeel Zia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adeel Zia accept?

Health plans from Oscar Health list Adeel Zia 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 Adeel Zia affiliated with any hospitals?

According to CMS data, Adeel Zia is affiliated with University Medical Center Of Princeton At Plainsboro.

When was this NPI record last updated?

The NPPES record for Adeel Zia was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.