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DR. JENNIFER RAI L ZAMBALES MD
NPI 1316443039
Emergency Medicine in Kettering, OH

Active since April 02, 2018PECOS Enrolled
94.63/100
CMS Quality Rating
3525 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8839(937) 395-8387 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2026, Jun 18, 2021 (2 updates tracked since 2021).

About Dr. Jennifer Rai L Zambales Md NPPES

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

DR. JENNIFER RAI L ZAMBALES MD (NPI 1316443039) is an individual emergency medicine provider in Kettering, Ohio, licensed in Ohio (35141173) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains 13 additional practice locations.

NPPES Registry Identity

NPI1316443039
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. JENNIFER RAI L ZAMBALESCredential: MD
Location Address3525 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address3131 Newmark Dr Ste 220Miamisburg, OH 45342-5400 · Fax (937) 395-8387
Phone(937) 395-8839
Fax(937) 395-8387
Sole ProprietorNo
Enumeration DateApril 2, 2018
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1316443039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OH · 35141173✔ Licensed in CO · CDR.0006535
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3525 SOUTHERN BLVD, Kettering, OH 45429
Open in Google Maps ↗

Secondary Practice Locations 13

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-8166
Location 210350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545
Location 34000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 384-8791
Location 48701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338
Location 51141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 352-2500
Location 61 Kettering WayPiqua, OH 45356-4535 · Phone (937) 916-2624
Location 7600 W Main StTroy, OH 45373-3384 · Phone (937) 980-7010
Location 81997 Miamisburg Centerville RdCenterville, OH 45459-3811 · Phone (937) 401-6228
Location 9405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3211
Location 10450F Washington Jackson RdEaton, OH 45320-8699 · Phone (937) 456-8376
Location 116147 State Route 122Middletown, OH 45005-5201 · Phone (513) 261-3410
Location 12100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 458-4700
Location 133535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Rai L Zambales Md 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 Jennifer Rai Zambales reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Specialists Inc
0.1 mi
Emergency Medicine
3535 SOUTHERN BLVD
Kettering, OH 45429
  • Reassigned Medicare billing, Ohio enrollment
  • 151 clinicians in this Medicare group
NPI 1588640791 (937) 395-8166
Usacs Integrated Acute Care Services Of Texas, PLLC
995 mi
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
NPI 1801300322 (330) 493-4443
Travis County Emergency Physicians PA
1,003 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443
Colorado Permanente Medical Group, P.C.
1,099 mi
Internal Medicine
10350 E DAKOTA AVE
Denver, CO 80247
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Colorado Permanente Medical Group PC
  • 1,715 clinicians in this Medicare group
NPI 1760599724 (303) 338-4545

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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
100 services99 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
72 services68 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
48 services47 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services21 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.64
Improvement Activities40

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. STACEY LYNN POZNANSKI DO
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
JOSHUA NEAL KLEPINGER MD
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
KELLI LYN THOMAS
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
DR. RAYMOND PATRICK TENEYCK M.D.
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
DR. RYAN MATTHEW BABIENCO M.D.
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
ROBERT NICHOLS
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
SAMUEL DOCKERY DO
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839
JOSEPH BURKHAMMER MD
Emergency Medicine
3525 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8839

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 Jennifer Rai Zambales's NPI number?

The NPI number for Jennifer Rai Zambales is 1316443039. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Jennifer Rai Zambales located?

Jennifer Rai Zambales practices at 3525 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8839.

What is Jennifer Rai Zambales's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jennifer Rai Zambales enrolled in Medicare?

Yes. Jennifer Rai Zambales is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Rai Zambales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Rai Zambales reassigns Medicare benefits to 4 organizations: Emergency Medicine Specialists Inc (Kettering, OH), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX), Travis County Emergency Physicians PA (Austin, TX) and Colorado Permanente Medical Group, P.C. (Denver, CO). 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 Jennifer Rai Zambales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Rai Zambales accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Jennifer Rai Zambales 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 Jennifer Rai Zambales was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.