DR. REGINA MARGARITA ZAMBRANO M.D.
NPI 1659574739
Medical Genetics - Clinical Genetics (M.D.) in New Orleans, LA
NPI Status: Active since June 07, 2007
Contact Information
200 HENRY CLAY AVE
SUITE 2308
NEW ORLEANS, LA
ZIP 70118
Phone: (504) 896-9254
- Individual
- Female
- Medical Genetics
- Clinical Genetics (M.D.)
- Accepts Insurance
- PECOS Enrolled
About REGINA ZAMBRANO
This page provides the complete NPI Profile along with additional information for Regina Zambrano, a provider established in New Orleans, Louisiana with a medical specialization in Medical Genetics, focusing in clinical genetics (m.d.) . The healthcare provider is registered in the NPI registry with number 1659574739 assigned on June 2007. The practitioner's primary taxonomy code is 207SG0201X with license number ME126812 (FL). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1659574739
- Provider Name
- DR. REGINA MARGARITA ZAMBRANO M.D.
- Other Name
- DR. REGINA MARGARITA ESCUDERO M.D.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 HENRY CLAY AVE SUITE 2308 NEW ORLEANS, LA 70118
- Location Phone
- (504) 896-9254
- Mailing Address
- 601 5TH ST S ST PETERSBURG, FL 33701
- Mailing Phone
- (727) 767-3430
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-07-2007
- Last Update Date
- 05-20-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Medical Genetics Clinical Genetics (M.D.)
- Taxonomy Code
- 207SG0201X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME126812
- License State
- FL
- Taxonomy Description
- A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L) - POS
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N) - POS
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S) - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (L) - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (N) - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (S) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (H) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (L) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (N) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (S) - POS
- Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
- Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
- Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
- Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1075019 | MEDICAID (05) | LA | |
| 016733800 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Regina Zambrano is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. REGINA MARGARITA ZAMBRANO M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1659574739, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659574739, enumerated as an "individual" on June 07, 2007.
The provider is located at 200 HENRY CLAY AVE SUITE 2308 NEW ORLEANS, LA 70118 and the phone number is (504) 896-9254.
Medical Genetics with taxonomy code 207SG0201X and a focus in Clinical Genetics (M.D.).
The provider might be accepting Accepts: HMO Louisiana, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
