CLEMENTE V. ZULUETA, JR., MD, PLLC
NPI 1275543175
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jackson, KY
About Clemente V. Zulueta, Jr., Md, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEMENTE V. ZULUETA, JR., MD, PLLC (NPI 1275543175) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Jackson, Kentucky and active in the NPI registry since August 2006. The organization lists Clemente V. Zulueta, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clemente V. Zulueta, Jr., Md, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Clemente V. Zulueta, Jr., MD, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clemente V. Zulueta, Jr., MD, PLLC's NPI number?
The NPI number for Clemente V. Zulueta, Jr., MD, PLLC is 1275543175. It was assigned to this organization in the NPPES registry on August 9, 2006.
Where is Clemente V. Zulueta, Jr., MD, PLLC located?
Clemente V. Zulueta, Jr., MD, PLLC is located at 95 Jackson Hts Ste 201, Jackson, KY 41339. The listed phone number is (606) 693-1078.
What is Clemente V. Zulueta, Jr., MD, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Clemente V. Zulueta, Jr., MD, PLLC enrolled in Medicare?
Yes. Clemente V. Zulueta, Jr., MD, PLLC is registered in the Medicare PECOS enrollment system.
When is Clemente V. Zulueta, Jr., MD, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Kentucky, Rural Health Clinic) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Clemente V. Zulueta, Jr., MD, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clemente V. Zulueta, Jr., MD, PLLC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Clemente V. Zulueta, Jr., MD, PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Clemente V. Zulueta, Jr., MD, PLLC 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 Clemente V. Zulueta, Jr., MD, PLLC was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Clemente V. Zulueta, Jr., Md, Pllc · NPI 1275543175
Endocrinology, Diabetes & Metabolism organization in Jackson, Kentucky. Organization record, active in the CMS NPPES registry since August 9, 2006.
## Identity
- **NPI:** 1275543175 (Entity type: Organization)
- **Enumerated:** August 9, 2006
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Clemente Zulueta, OWNER
## Practice location
- **Address:** 95 JACKSON HTS, STE 201, Jackson, KY 41339-6500
- **Phone:** (606) 693-1078 · **Fax:** (606) 693-1079
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, Kentucky, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2012
- **Other identifiers:** Medicaid 31-000847 (KY); Medicare ID-Type Unspecified 9226 (KY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1275543175) · Data from the CMS NPPES public registry.