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RUBEN H ZABALETA M.D.
NPI 1386778579
Preventive Medicine - Occupational Medicine in Philadelphia, PA

Active since March 16, 2007PECOS Enrolled
5800 RIDGE AVE., STE. 234, PHILADELPHIA, PA 19128(215) 487-4540 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ruben H Zabaleta M.d. NPPES

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

RUBEN H ZABALETA M.D. (NPI 1386778579) is an individual occupational medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD032583E) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386778579
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameRUBEN H ZABALETACredential: M.D.
Location Address5800 RIDGE AVE., STE. 234Philadelphia, PA 19128
Mailing Address5800 Ridge Ave., Ste. 234Philadelphia, PA 19128 · (215) 487-4540
Phone(215) 487-4540
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386778579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in PA · MD032583E
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
5800 RIDGE AVE., Philadelphia, PA 19128
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Other Identifiers 1

Medicare UPIND66843PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida 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)

Ruben H Zabaleta 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 Reassignment

Medicare enrollment records show Ruben Zabaleta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Current Care PA PC
7.4 mi
Urgent Care
2010 LEVICK STREET
Philadelphia, PA 19149
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 67 clinicians in this Medicare group
NPI 1790957199 (215) 537-4755

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 19128 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY LYNN MCCANN
Pharmacist
5800 RIDGE AVE.
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-9900

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 Ruben Zabaleta's NPI number?

The NPI number for Ruben Zabaleta is 1386778579. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Ruben Zabaleta located?

Ruben Zabaleta practices at 5800 Ridge Ave. Ste. 234, Philadelphia, PA 19128. The listed phone number is (215) 487-4540.

What is Ruben Zabaleta's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Ruben Zabaleta enrolled in Medicare?

Yes. Ruben Zabaleta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ruben Zabaleta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruben Zabaleta reassigns Medicare benefits to American Current Care PA PC (Philadelphia, PA). The 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 Ruben Zabaleta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruben Zabaleta accept?

Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Ruben Zabaleta 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 Ruben Zabaleta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.