DR. MARIO PHILLIP ZAMORA MD
NPI 1578098166
Psychiatry & Neurology - Neurology in The Woodlands, TX

Active since April 21, 2017PECOS EnrolledAccepts Medicare Assignment
17201 INTERSTATE 45 S, THE WOODLANDS, TX 77385(936) 270-3900(936) 271-1584 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, Jun 7, 2024, Jul 8, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Mario Phillip Zamora Md NPPES

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

DR. MARIO PHILLIP ZAMORA MD (NPI 1578098166) is an individual neurology provider in The Woodlands, Texas, licensed in Tennessee (63866) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2016).

NPPES Registry Identity

NPI1578098166
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MARIO PHILLIP ZAMORACredential: MD
Location Address17201 INTERSTATE 45 SThe Woodlands, TX 77385-3311
Mailing Address17189 Interstate 45 S, Suite 675The Woodlands, TX 77385-3320 · (936) 270-3900 · Fax (936) 271-1584
Fax(936) 271-1584
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2016
Enumeration DateApril 21, 2017
Last NPPES UpdateJuly 9, 20264 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1578098166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in TN · 63866✔ Licensed in NJ · 25IA12408600
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 V1717 (TX)
17201 INTERSTATE 45 S, The Woodlands, TX 77385

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. Mario Phillip Zamora Md 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 ID244501641
PECOS Enrollment IDI20220526000767, I20240717004053, I20241024003814
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 Mario Zamora reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
Primary Care
319 ASBURY AVE
Ripley, TN 38063
  • Reassigned Medicare billing, Tennessee enrollment
  • 49 clinicians in this Medicare group
Critical Care Medicine
110 HOSPITAL DR
Jefferson Cty, TN 37760
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
Specialist
1825 NW CORPORATE BLVD STE 105
Boca Raton, FL 33431
  • Reassigned Medicare billing, New Jersey enrollment
  • 49 clinicians in this Medicare group
Critical Care Medicine
1825 NW CORPORATE BLVD STE 105
Boca Raton, FL 33431
  • Reassigned Medicare billing, Texas enrollment
  • 34 clinicians in this Medicare group
Specialist
1825 NW CORPORATE BLVD STE 105
Boca Raton, FL 33431
  • Reassigned Medicare billing, Tennessee enrollment
  • 21 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.

Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth G0407
A follow-up inpatient consultation is a service where a doctor spends around 25 minutes discussing your health progress via telehealth. This virtual meeting helps track your recovery, manage your treatment plan, and address any concerns you may have. It's a crucial part of your ongoing care.
142 services41 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
92 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77385 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Student in an Organized Health Care Education/Training Program
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Pharmacist
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Nurse Practitioner (Acute Care)
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Hospitalist
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Anesthesiology
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Hospitalist
17201 INTERSTATE 45 S
SHENANDOAH, TX 77385
Emergency Medicine
17201 INTERSTATE 45 S
SHENANDOAH, TX 77385
Emergency Medicine (Medical Toxicology)
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385

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 Mario Zamora's NPI number?

The NPI number for Mario Zamora is 1578098166. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Mario Zamora located?

Mario Zamora practices at 17201 Interstate 45 S, The Woodlands, TX 77385. The listed phone number is (936) 270-3900.

What is Mario Zamora's specialty?

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

Is Mario Zamora enrolled in Medicare?

Yes. Mario Zamora 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 Mario Zamora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Zamora reassigns Medicare benefits to 6 organizations: Tmh Physician Associates PLLC (Houston, TX), Lauderdale Community Hospital LLC (Ripley, TN), Nuview Health Tennessee, PC (Jefferson Cty, TN), Icu Nj, PC (Boca Raton, FL), Nuview Health Texas PA (Boca Raton, FL) 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 Mario Zamora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Zamora accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Cigna Healthcare list Mario Zamora 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 Mario Zamora was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.