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CARLOS MANUEL ZAPATA-REYES MD
NPI 1851849343
Internal Medicine - Nephrology in Miramar, FL

Active since September 14, 2016PECOS EnrolledAccepts Medicare Assignment
6208 PEMBROKE RD, MIRAMAR, FL 33023(954) 961-7100(954) 342-1990 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2026, May 11, 2026, Dec 15, 2025 and 19 more (22 updates tracked since 2016).

About Carlos Manuel Zapata-reyes Md NPPES

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

CARLOS MANUEL ZAPATA-REYES MD (NPI 1851849343) is an individual nephrology provider in Miramar, Florida, licensed in Florida (ME162522) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1851849343
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameCARLOS MANUEL ZAPATA-REYESCredential: MD
Location Address6208 PEMBROKE RDMiramar, FL 33023-2216
Mailing Address6208 Pembroke RdMiramar, FL 33023-2216 · (954) 961-7100 · Fax (347) 802-2210
Phone(954) 961-7100
Fax(954) 342-1990
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 14, 2016
Last NPPES UpdateJune 22, 202622 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1851849343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in FL · ME162522✔ Licensed in TX · S8940
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
6208 PEMBROKE RD, Miramar, FL 33023
Open in Google Maps ↗

Other Names 1

Other Name (5)Carlos Manuel Zapata Reyes Md

Secondary Practice Locations 3

Location 1703 N Flamingo Rd Ste 1001Pembroke Pines, FL 33028-1014 · Phone (954) 436-5000 · Fax (954) 844-1310
Location 2500 N Hiatus Rd Ste 10Pembroke Pines, FL 33026-5213 · Phone (954) 676-2486 · Fax (347) 802-2210
Location 32911 Medical Arts St Ste 10Austin, TX 78705-3302 · Phone (866) 473-0663

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter Health, Ambetter of Alabama and more.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

Carlos Manuel Zapata-reyes 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 ID3173932498
PECOS Enrollment IDI20220928003093, I20230928004212
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

8

Medicare enrollment records show Carlos Zapata-reyes reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Care Of South Florida, Inc.
0.2 mi
General Practice
6208 PEMBROKE RD
Miramar, FL 33023
  • Reassigned Medicare billing, Florida enrollment
  • 30 clinicians in this Medicare group
NPI 1306166046 (954) 961-7100
Eastside Hospitalists Inc
2.7 mi
Hospitalist
3501 JOHNSON ST
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 413 clinicians in this Medicare group
NPI 1285676957 (954) 265-2000
Sound Physicians Of Florida Vi LLC
14 mi
Internal Medicine
4725 N FEDERAL HWY
Fort Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
  • 197 clinicians in this Medicare group
NPI 1417761073 (954) 771-8000
Ultrahealth, L.L.C.
94 mi
Psychiatry
5038 CORONADO PKWY
Naples, FL 34116
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1821785783 (239) 499-0900
Inspire Medical Care PA
181 mi
Internal Medicine
4701 MANATEE AVE W STE 100
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 40 clinicians in this Medicare group
NPI 1154001907 (888) 636-4727
Kelsey-Seybold Medical Group, PLLC
964 mi
Multi-Specialty
2727 W HOLCOMBE BLVD
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 1,649 clinicians in this Medicare group
NPI 1013915255 (713) 442-0000
Wyckoff Professional Medical Services, PC
1,076 mi
Internal Medicine
374 STOCKHOLM ST
Brooklyn, NY 11237
  • Reassigned Medicare billing, New York enrollment
  • 427 clinicians in this Medicare group
NPI 1659710796 (718) 963-6485
Post Acute Specialists Of Texas PA
1,108 mi
Geriatric Medicine
2911 MEDICAL ARTS ST STE 10
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 140 clinicians in this Medicare group
NPI 1942859350 (866) 473-0663

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
267 services85 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100073
Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33023 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 2

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

MR. FIDEL PADILLA ARNP-FNP
Nurse Practitioner (Family)
6208 PEMBROKE RD
MIRAMAR, FL 33023
Broward County (305) 278-0200
AMERICAN CARE OF SOUTH FLORIDA, INC.
General Practice
6208 PEMBROKE RD
MIRAMAR, FL 33023
Broward County (954) 961-7100

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 Carlos Zapata-reyes's NPI number?

The NPI number for Carlos Zapata-reyes is 1851849343. It was assigned to this individual provider in the NPPES registry on September 14, 2016. The provider is also known as Carlos Manuel Zapata Reyes MD.

Where is Carlos Zapata-reyes located?

Carlos Zapata-reyes practices at 6208 Pembroke Rd, Miramar, FL 33023. The listed phone number is (954) 961-7100.

What is Carlos Zapata-reyes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Carlos Zapata-reyes enrolled in Medicare?

Yes. Carlos Zapata-reyes 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 Carlos Zapata-reyes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Zapata-reyes reassigns Medicare benefits to 8 organizations: American Care Of South Florida, Inc. (Miramar, FL), Eastside Hospitalists Inc (Hollywood, FL), Sound Physicians Of Florida Vi LLC (Fort Lauderdale, FL), Ultrahealth, L.L.C. (Naples, FL), Inspire Medical Care PA (Bradenton, FL) and 3 more organizations, 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 Carlos Zapata-reyes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Zapata-reyes accept?

Health plans from 22 Health, Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Texas and Harbor Health and 4 other insurers list Carlos Zapata-reyes 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 Carlos Zapata-reyes affiliated with any hospitals?

According to CMS data, Carlos Zapata-reyes is affiliated with Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Zapata-reyes was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.