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HELIO CARMELO ZAPATA M.D.
NPI 1285681452
Obstetrics & Gynecology in Surprise, AZ

Active since May 31, 2006PECOS Enrolled
14961 W BELL RD STE 175, SURPRISE, AZ 85374(623) 547-7205(623) 249-5181 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2023, Nov 12, 2021 (2 updates tracked since 2021).

About Helio Carmelo Zapata M.d. NPPES

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

HELIO CARMELO ZAPATA M.D. (NPI 1285681452) is an individual obstetrics & gynecology provider in Surprise, Arizona, licensed in Illinois (036048612) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Somerton.

NPPES Registry Identity

NPI1285681452
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameHELIO CARMELO ZAPATACredential: M.D.
Location Address14961 W BELL RD STE 175Surprise, AZ 85374
Mailing Address14961 W Bell Rd Ste 175Surprise, AZ 85374-3220 · (623) 547-7205 · Fax (623) 249-5181
Phone(623) 547-7205
Fax(623) 249-5181
Sole ProprietorYes
Enumeration DateMay 31, 2006
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1285681452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036048612
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
14961 W BELL RD STE 175, Surprise, AZ 85374
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Secondary Practice Location 1

Location 1151 S OAK AVENUESOMERTON, AZ 85350 · Phone (928) 662-0414 · Fax (928) 722-6113

Other Identifiers 1

Medicaid036048612IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Helio Carmelo Zapata 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 Reassignments

4

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

Shannon Clinic
685 mi
Rural Health
102 NORTH AVENUE H
Ozona, TX 76943
  • Reassigned Medicare billing, Texas enrollment
  • 671 clinicians in this Medicare group
NPI 1245230465 (325) 392-3788
Obhg Texas Holdings, P.A.
889 mi
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
NPI 1083917769 (800) 967-2289
Cherokee Nation
952 mi
Multi-Specialty
395200 W 2900 RD
Ochelata, OK 74051
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
NPI 1871972430 (918) 535-6000
Rockford Health Physicians
1,399 mi
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1023275278 (815) 971-5000

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 85374 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

ZEYAD ALSAEEDI MD
Internal Medicine
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 242-9830
ANTONI MACKO MD
Student in an Organized Health Care Education/Training Program
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 547-7205
MUNA ALI MD
Student in an Organized Health Care Education/Training Program
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 242-9830
DR. RAVALI NAGOTHU MD
Internal Medicine (Pulmonary Disease)
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 242-9830
MACEY MARIE ROSS CNM
Midwife
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 547-7205
SHANNON O'BRIEN PA
Physician Assistant
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 547-7205
ASEEL SLIWA ABDULAHAD MD
Internal Medicine
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 547-7205
DR. VALENCIA L MOSLEY M.D.
Obstetrics & Gynecology
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Maricopa County (623) 547-7205

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 Helio Zapata's NPI number?

The NPI number for Helio Zapata is 1285681452. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Helio Zapata located?

Helio Zapata practices at 14961 W Bell Rd Ste 175, Surprise, AZ 85374. The listed phone number is (623) 547-7205.

What is Helio Zapata's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Helio Zapata enrolled in Medicare?

Yes. Helio Zapata is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Helio Zapata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Helio Zapata reassigns Medicare benefits to 4 organizations: Shannon Clinic (Ozona, TX), Obhg Texas Holdings, P.A. (Austin, TX), Cherokee Nation (Ochelata, OK) and Rockford Health Physicians (Rockford, IL). 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 Helio Zapata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Helio Zapata accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross Blue Shield of Arizona list Helio Zapata 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 Helio Zapata was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.