DR. RAUL HORACIO ZAMBRANO MD
NPI 1598736472
Family Medicine in Dayton, OH
About Dr. Raul Horacio Zambrano Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAUL HORACIO ZAMBRANO MD (NPI 1598736472) is an individual family medicine provider in Dayton, Ohio, licensed in Ohio (35.139023) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Other Identifiers 1
Accepted 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
Dr. Raul Horacio Zambrano 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marion General Hospital
Acute Care Hospitals · Marion, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Raul Zambrano's NPI number?
The NPI number for Raul Zambrano is 1598736472. It was assigned to this individual provider in the NPPES registry on January 30, 2006.
Where is Raul Zambrano located?
Raul Zambrano practices at 1431 Wayne Ave, Dayton, OH 45410. The listed phone number is (937) 348-7001.
What is Raul Zambrano's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Raul Zambrano enrolled in Medicare?
Yes. Raul Zambrano 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 Raul Zambrano accept?
Health plans from Blue Cross and Blue Shield of Texas and CareSource list Raul Zambrano 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 Raul Zambrano affiliated with any hospitals?
According to CMS data, Raul Zambrano is affiliated with Marion General Hospital.
When was this NPI record last updated?
The NPPES record for Raul Zambrano was last updated on May 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
