DR. EDUARDO VICENTE ZAMBRANO MD, MS
NPI 1619958998
Pathology - Pediatric Pathology in Phoenix, AZ

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-3124 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2023, Dec 14, 2016 (2 updates tracked since 2016).

About Dr. Eduardo Vicente Zambrano Md, Ms NPPES

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

DR. EDUARDO VICENTE ZAMBRANO MD, MS (NPI 1619958998) is an individual pediatric pathology provider in Phoenix, Arizona, licensed in Arizona (71420) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1619958998
Entity TypeIndividualMale
Primary Taxonomy207ZP0213X
Provider Legal NameDR. EDUARDO VICENTE ZAMBRANOCredential: MD, MS
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124 · Fax (650) 724-6843
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 14, 2005
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
NPI 1619958998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Pediatric PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0213X
License Licensed in AZ · 71420
Definition
A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 54427 (WI), C129537 (CA)
1919 E THOMAS RD, Phoenix, AZ 85016

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. Eduardo Vicente Zambrano Md, Ms 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 ID3577465996
PECOS Enrollment IDI20231024003593
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Nurse Practitioner (Pediatrics)
1919 E THOMAS RD
PHOENIX, AZ 85016

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 Eduardo Zambrano's NPI number?

The NPI number for Eduardo Zambrano is 1619958998. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Eduardo Zambrano located?

Eduardo Zambrano practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-3124.

What is Eduardo Zambrano's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.

Is Eduardo Zambrano enrolled in Medicare?

Yes. Eduardo 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 Eduardo Zambrano accept?

Health plans from Oscar Insurance Company list Eduardo 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.

When was this NPI record last updated?

The NPPES record for Eduardo Zambrano was last updated on November 7, 2023. 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.