ZARATE MEDICAL GROUP PA
NPI 1285761809
Internal Medicine in San Antonio, TX

Active since February 28, 2007CLIA 45D1052609 · Waiver
1200 BROOKLYN AVE STE 310, SAN ANTONIO, TX 78212(210) 587-8787(210) 388-0239 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2020, Sep 21, 2020, Sep 15, 2020 and 2 more (5 updates tracked since 2016).

About Zarate Medical Group Pa NPPES

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

ZARATE MEDICAL GROUP PA (NPI 1285761809) is a healthcare organization registered as an internal medicine in San Antonio, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 28, 2028, maintains a secondary practice location in San Antonio, and lists Rudolfo P Zarate, President, as its authorized official.

NPPES Registry Identity

NPI1285761809
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameZARATE MEDICAL GROUP PA
Location Address1200 BROOKLYN AVE STE 310San Antonio, TX 78212-4810
Mailing Address24014 Gran PalacioSan Antonio, TX 78261-2766 · (210) 587-8787 · Fax (210) 388-0239
Fax(210) 388-0239
Organization SubpartNo
Authorized OfficialRudolfo P ZaratePresident · (210) 587-8787
Enumeration DateFebruary 28, 2007
Last NPPES UpdateOctober 20, 20205 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1285761809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M1415
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1200 BROOKLYN AVE STE 310, San Antonio, TX 78212

Secondary Practice Location 1

Location 11200 Brooklyn Ave Ste 320San Antonio, TX 78212-4810 · Phone (210) 587-8787 · Fax (210) 388-0239

Other Identifiers 2

Medicaid179126101TX
Other00W262TX · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Zarate Medical Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20060224000591Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Zarate Medical Group PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1427054055
1200 BROOKLYN AVE STE 310
San Antonio, TX 78212
(210) 587-8787
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1770589384
1200 BROOKLYN AVE STE 310
San Antonio, TX 78212
(210) 587-8787
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1052609

Zarate Medical Group PA · San Antonio, TX
Active · expires Mar 28, 2028
CLIA Number45D1052609
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorRudolfo P. Zarate
Laboratory Phone(210) 587-8787
Laboratory LocationZarate Medical Group PA1200 Brooklyn Ave Suite 310, San Antonio, TX 78212
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Zarate Medical Group PA's NPI number?

The NPI number for Zarate Medical Group PA is 1285761809. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Zarate Medical Group PA located?

Zarate Medical Group PA is located at 1200 Brooklyn Ave Ste 310, San Antonio, TX 78212. The listed phone number is (210) 587-8787.

What is Zarate Medical Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Zarate Medical Group PA enrolled in Medicare?

Yes. Zarate Medical Group PA is registered in the Medicare PECOS enrollment system.

When is Zarate Medical Group PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 Zarate Medical Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Zarate Medical Group PA. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Zarate Medical Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1052609) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Zarate Medical Group PA was last updated on October 20, 2020. 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.