DR. JOSUE ZOZAYA
NPI 1528697026
Emergency Medicine in Dallas, TX

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
6201 HARRY HINES BLVD, DALLAS, TX 75390(214) 645-9729(214) 645-8000 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2024, Oct 5, 2022, Sep 28, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Josue Zozaya NPPES

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

DR. JOSUE ZOZAYA (NPI 1528697026) is an individual emergency medicine provider in Dallas, Texas, licensed in Texas (T7788) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528697026
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOSUE ZOZAYA
Location Address6201 HARRY HINES BLVDDallas, TX 75390-9201
Mailing Address5200 Harry Hines BlvdDallas, TX 75235-7709
Fax(214) 645-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateApril 8, 20244 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1528697026 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 TX · T7788
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.
6201 HARRY HINES BLVD, Dallas, TX 75390

Secondary Practice Locations 2

Location 11935 Medical District DrDallas, TX 75235-7701 · Phone (214) 648-3916 · Fax (214) 648-3916
Location 25200 Harry Hines BlvdDallas, TX 75235-7709 · Phone (214) 590-8000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Josue Zozaya 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 ID2062898042
PECOS Enrollment IDI20220928001278
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

6

Medicare enrollment records show Josue Zozaya reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation
6011 HARRY HINES BLVD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
Emergency Medicine
3500 GASTON AVE
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 1,044 clinicians in this Medicare group
Urgent Care
5301 LOVERS LANE
Dallas, TX 75209
  • Reassigned Medicare billing, Texas enrollment
  • 66 clinicians in this Medicare group
Urgent Care
10759 PRESTON RD, SUITE 200
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 55 clinicians in this Medicare group
Medical Toxicology
4835 LBJ FWY STE 900
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
Emergency Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 328 clinicians in this Medicare group

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 2

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.
57 services57 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.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

Internal Medicine (Cardiovascular Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Psychiatry & Neurology (Psychiatry)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Radiology (Vascular & Interventional Radiology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Nurse Practitioner (Neonatal, Critical Care)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Infectious Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Hospitalist
6201 HARRY HINES BLVD
DALLAS, TX 75390
Radiology (Diagnostic Radiology)
6201 HARRY HINES BLVD
DALLAS, TX 75390

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 Josue Zozaya's NPI number?

The NPI number for Josue Zozaya is 1528697026. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Josue Zozaya located?

Josue Zozaya practices at 6201 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 645-9729.

What is Josue Zozaya's specialty?

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

Is Josue Zozaya enrolled in Medicare?

Yes. Josue Zozaya 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.

Which organizations bill Medicare for Josue Zozaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josue Zozaya reassigns Medicare benefits to 6 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX), Century Integrated Partners, Inc (Dallas, TX), Citydoc Urgent Care Center 2, PLLC (Dallas, TX), Citydoc Urgent Care Center 3, PLLC (Dallas, TX), North Texas Toxicology PLLC (Dallas, TX) and 1 more organization, listed in the Medicare section above. 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 Josue Zozaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josue Zozaya accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health and Oscar Insurance Company list Josue Zozaya 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 Josue Zozaya affiliated with any hospitals?

According to CMS data, Josue Zozaya is affiliated with Baylor University Medical Center and Jps Health Network.

When was this NPI record last updated?

The NPPES record for Josue Zozaya was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.