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DR. XOCHITL P ZUNIGA M.D.
NPI 1285633404
Internal Medicine - Nephrology in Fall River, MA

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
1030 PRESIDENT AVE, FALL RIVER, MA 02720(508) 235-6427(508) 235-6654 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Xochitl P Zuniga M.d. NPPES

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

DR. XOCHITL P ZUNIGA M.D. (NPI 1285633404) is an individual nephrology provider in Fall River, Massachusetts, licensed in Massachusetts (220527) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1285633404
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. XOCHITL P ZUNIGACredential: M.D.
Location Address1030 PRESIDENT AVEFall River, MA 02720-5923
Mailing Address1030 President AveFall River, MA 02720-5923 · (508) 235-6427 · Fax (508) 235-6654
Phone(508) 235-6427
Fax(508) 235-6654
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 19, 2005
Last NPPES UpdateJune 27, 2016
✔ NPI 1285633404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MA · 220527
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.
1030 PRESIDENT AVE, Fall River, MA 02720
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Other Identifiers 2

Medicare UPINH47367MA
Medicaid9763104MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Xochitl P Zuniga 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 ID3274504618
PECOS Enrollment IDI20040802000336, I20050209000983
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 9

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.
370 services218 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.
297 services135 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.
253 services66 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
188 services66 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.
101 services93 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.
70 services70 patients

Hospital Affiliations CMS Care Compare

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

DR. LESLIE E STERN M.D.
Neurological Surgery
1030 PRESIDENT AVE, SUITE 306
FALL RIVER, MA 02720
Bristol County (508) 235-6395
KELBY MAHER D.O.
Pediatrics
1030 PRESIDENT AVE
FALL RIVER, MA 02720
Bristol County (508) 679-6833
TERENCE J MCGOVERN MD
Internal Medicine (Critical Care Medicine)
1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720
Bristol County (508) 973-1780
REGINA SINGLETON N.P.
Nurse Practitioner (Adult Health)
1030 PRESIDENT AVE, SUITE 304
FALL RIVER, MA 02720
Bristol County (508) 235-6222
MARGARET TANG LEE MD
Obstetrics & Gynecology
1030 PRESIDENT AVE
FALL RIVER, MA 02720
Bristol County (508) 676-3411
LAUREL A GAY P.A.
Physician Assistant
1030 PRESIDENT AVE, SUITE 3001
FALL RIVER, MA 02720
Bristol County (508) 676-3411
DR. NICK MUCCIARDI MD
Internal Medicine (Pulmonary Disease)
1030 PRESIDENT AVE, SUITE 210
FALL RIVER, MA 02720
Bristol County (508) 973-1780
DR. HENRY R VAILLANCOURT MD
Family Medicine
1030 PRESIDENT AVE, SUITE 104 SOUTHCOAST PHYSICIAN SERVICES INC
FALL RIVER, MA 02720
Bristol County (508) 676-3411

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 Xochitl Zuniga's NPI number?

The NPI number for Xochitl Zuniga is 1285633404. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Xochitl Zuniga located?

Xochitl Zuniga practices at 1030 President Ave, Fall River, MA 02720. The listed phone number is (508) 235-6427.

What is Xochitl Zuniga's specialty?

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

Is Xochitl Zuniga enrolled in Medicare?

Yes. Xochitl 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 Xochitl Zuniga accept?

Health plans from Anthem Blue Cross and Blue Shield list Xochitl 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.

Is Xochitl Zuniga affiliated with any hospitals?

According to CMS data, Xochitl Zuniga is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Xochitl Zuniga was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.