DR. HAZEL JOYCE ZALDIVIA LUPENA M.D.
NPI 1598795346
Internal Medicine - Pulmonary Disease in Burien, WA

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
16259 SYLVESTER RD SW, BURIEN, WA 98166(206) 241-1818(360) 744-6270 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Hazel Joyce Zaldivia Lupena M.d. NPPES

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

DR. HAZEL JOYCE ZALDIVIA LUPENA M.D. (NPI 1598795346) is an individual pulmonary disease provider in Burien, Washington, licensed in Washington (MD60934777) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Highline Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1598795346
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. HAZEL JOYCE ZALDIVIA LUPENACredential: M.D.
Location Address16259 SYLVESTER RD SWBurien, WA 98166-3049
Mailing Address16259 Sylvester Rd SwBurien, WA 98166-3049 · (206) 241-1818 · Fax (360) 744-6270
Fax(360) 744-6270
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 4, 2006
Last NPPES UpdateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
NPI 1598795346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in WA · MD60934777 Licensed in FL · ME102309
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME102309 (FL)
16259 SYLVESTER RD SW, Burien, WA 98166

Other Identifiers 3

OtherME102309Florida Medical License
Medicaid2140527WA
OtherME102309FL · Department Of Health Fl License

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. Hazel Joyce Zaldivia Lupena M.d. 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 ID9638333495
PECOS Enrollment IDI20191030001618
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services34 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
24 services22 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
16 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Highline Medical Center

Acute Care Hospitals · Burien, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500011
Location16251 Sylvester Road SWBurien, WA 98166 · King County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500141
Location34515 9th Avenue SFederal Way, WA 98003 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98166 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers13 claims13 services$12.94 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers36 claims36 services$14.28 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
7 suppliers146 claims146 services$3.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
9 suppliers228 claims228 services$64.36 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
6 suppliers138 claims138 services$33.29 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
7 suppliers50 claims7,801 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapy Assistant
16259 SYLVESTER RD SW, SUITE 102
BURIEN, WA 98166
Orthopaedic Surgery
16259 SYLVESTER RD SW, SUITE 501
BURIEN, WA 98166
Hearing Aid Equipment
16259 SYLVESTER RD SW, SUITE 505
BURIEN, WA 98166
Nurse Practitioner
16259 SYLVESTER RD SW, SUITE 401
BURIEN, WA 98166
Physical Therapist
16259 SYLVESTER RD SW, SUITE 102
BURIEN, WA 98166
Legal Medicine
16259 SYLVESTER RD SW, SUITE 503
BURIEN, WA 98166
Surgery (Plastic and Reconstructive Surgery)
16259 SYLVESTER RD SW
BURIEN, WA 98166
Internal Medicine
16259 SYLVESTER RD SW, SUITE 504
BURIEN, WA 98166

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 Hazel Joyce Lupena's NPI number?

The NPI number for Hazel Joyce Lupena is 1598795346. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Hazel Joyce Lupena located?

Hazel Joyce Lupena practices at 16259 Sylvester Rd SW, Burien, WA 98166. The listed phone number is (206) 241-1818.

What is Hazel Joyce Lupena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Hazel Joyce Lupena enrolled in Medicare?

Yes. Hazel Joyce Lupena 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 Hazel Joyce Lupena accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Hazel Joyce Lupena 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 Hazel Joyce Lupena affiliated with any hospitals?

According to CMS data, Hazel Joyce Lupena is affiliated with Highline Medical Center, St Joseph Medical Center and St Francis Community Hospital.

When was this NPI record last updated?

The NPPES record for Hazel Joyce Lupena was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.