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LAURA ZABALGOITIA MD, MPH
NPI 1508329764
Psychiatry & Neurology - Neurology in Nashville, TN

Active since April 12, 2019PECOS EnrolledAccepts Medicare Assignment
4220 HARDING PIKE # 500, NASHVILLE, TN 37205(615) 396-5822 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2026, Feb 4, 2026, Jun 20, 2024 and 3 more (6 updates tracked since 2019).

About Laura Zabalgoitia Md, Mph NPPES

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

LAURA ZABALGOITIA MD, MPH (NPI 1508329764) is an individual neurology provider in Nashville, Tennessee, licensed in Tennessee (68630) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and maintains 19 additional practice locations.

NPPES Registry Identity

NPI1508329764
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameLAURA ZABALGOITIACredential: MD, MPH
Location Address4220 HARDING PIKE # 500Nashville, TN 37205-2005
Mailing Address4404b Westlawn DrNashville, TN 37209-4924 · (217) 741-6828
Phone(615) 396-5822
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 12, 2019
Last NPPES UpdateMarch 20, 20266 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1508329764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in TN · 68630✔ Licensed in VA · 0101287701✔ Licensed in LA · 349770
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License 0101287701 (VA), 68630 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4220 HARDING PIKE # 500, Nashville, TN 37205
Open in Google Maps ↗

Secondary Practice Locations 19

Location 1130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-4000
Location 22000 Brookside DrKingsport, TN 37660-4627 · Phone (423) 857-7000
Location 31 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-1121
Location 4400 N State Of Franklin RdJohnson City, TN 37604-6035 · Phone (423) 431-6111
Location 51519 Main StSneedville, TN 37869-3657 · Phone (423) 733-5070
Location 61501 W Elk AveElizabethton, TN 37643-2874 · Phone (423) 542-1300
Location 71901 S Shady StMountain City, TN 37683-2021 · Phone (423) 727-1103
Location 816000 Johnston Memorial DrAbingdon, VA 24211-7664 · Phone (276) 258-3733
Location 9245 Medical Park DrMarion, VA 24354-1100 · Phone (276) 378-1000
Location 10312 Hospital DrClintwood, VA 24228-6786 · Phone (276) 926-0300
Location 1115790 Paul Vega Md DrHammond, LA 70403-1436 · Phone (985) 230-1683 · Fax (985) 230-6652
Location 121990 Holton Ave EBig Stone Gap, VA 24219-3350 · Phone (276) 523-3111
Location 131161 21st Avenue South, A-0118 Medical Center NorthNashville, TN 37232 · Phone (615) 936-1567 · Fax (615) 936-2675
Location 14851 Locust StRogersville, TN 37857-2407 · Phone (423) 921-7000
Location 151420 Tusculum BlvdGreeneville, TN 37745-4279 · Phone (423) 787-5000
Location 16100 15ht St NWNorton, VA 24273-1616 · Phone (276) 439-1000
Location 17127 Health Care DrPennington Gap, VA 24277-2853 · Phone (276) 546-5212
Location 18300 Med Tech PkwyJohnson City, TN 37604-2277 · Phone (423) 302-1000
Location 1958 Carroll StLebanon, VA 24266-4510 · Phone (276) 883-8000

Other Identifiers 1

Other349770LA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura Zabalgoitia Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173984408
PECOS Enrollment IDI20230802001468
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 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.
32 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440053
Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Laura Zabalgoitia's NPI number?

The NPI number for Laura Zabalgoitia is 1508329764. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Laura Zabalgoitia located?

Laura Zabalgoitia practices at 4220 Harding Pike # 500, Nashville, TN 37205. The listed phone number is (615) 396-5822.

What is Laura Zabalgoitia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Laura Zabalgoitia enrolled in Medicare?

Yes. Laura Zabalgoitia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Laura Zabalgoitia accept?

Health plans from Oscar Insurance Company list Laura Zabalgoitia 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.

Is Laura Zabalgoitia affiliated with any hospitals?

According to CMS data, Laura Zabalgoitia is affiliated with Sumner Regional Medical Center, Saint Thomas Rutherford Hospital and Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Laura Zabalgoitia was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.