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

Q: 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.

Q: What is Jennifer Rai Zambales's specialty?

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

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: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Rai Zambales Md NPPES

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

JENNIFER RAI 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 12 additional practice locations.

NPPES Registry Identity

NPI1316443039

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameJENNIFER RAI 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 UpdateJune 18, 2021

NPPES CertifiedJune 4, 2021

✔ NPI 1316443039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OH · 35141173

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

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Secondary Practice Locations 12

Location 14000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 384-8791

Location 23535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-8166

Location 38701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338

Location 41141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 352-2500

Location 53535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500

Location 6100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 458-4700

Location 76147 State Route 122Middletown, OH 45005-5201 · Phone (513) 261-3410

Location 8450F Washington Jackson RdEaton, OH 45320-8699 · Phone (937) 456-8376

Location 9405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3211

Location 101997 Miamisburg Centerville RdCenterville, OH 45459-3811 · Phone (937) 401-6228

Location 11600 W Main StTroy, OH 45373-3384 · Phone (937) 980-7010

Location 121 Kettering WayPiqua, OH 45356-4535 · Phone (937) 916-2624

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, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Rai 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.

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

Quality

90.64

Improvement Activities

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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.

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