Raul Zambrano, MD
NPI 1598736472 · Family Medicine Physician · Dayton, OH
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raul Zambrano, MD is a Family Medicine Physician provider in Dayton, OH (NPI 1598736472).
Provider details
- NPI number
- 1598736472
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01081132A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
236 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 150 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 72 | $119 |
| Administration of Influenza Virus VaccineG0008 | 14 | $30 |
Typical Medicare-allowed amounts for these services range $30–$119 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 23 | — |
| Atorvastatin Calcium | 21 | — |
| Losartan Potassium | 21 | 12 |
| Tramadol Hcl | 16 | — |
| Gabapentin | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (5)
- 436 E Washington BlvdFort Wayne, IN 46802-3210Phone: (260) 209-7111
- 2429 Harrison AveCincinnati, OH 45211-7915Phone: (513) 452-7005
- 6410 Broadway AveCleveland, OH 44105-1253Phone: (216) 303-7925
- 4271 W 3rd StDayton, OH 45417-1406Phone: (937) 348-7001
- 300 W Veterans BlvdBig Spring, TX 79720-5566Phone: (432) 264-4855Fax: (432) 264-4878
Registry dates
- Enumerated
- 2006-01-30
- Last updated
- 2020-05-13
- Certified
- 2020-05-13
Frequently asked questions
- What is Raul Zambrano's NPI number?
- Raul Zambrano's National Provider Identifier (NPI) is 1598736472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raul Zambrano's specialty?
- Raul Zambrano is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Raul Zambrano located?
- Raul Zambrano's practice location on file with NPPES is 1431 Wayne Ave, Dayton, OH 45410-1411.
- What is Raul Zambrano's phone number?
- The practice phone number listed in the NPPES registry for Raul Zambrano is (937) 348-7001.
- Does Raul Zambrano accept Medicare?
- Raul Zambrano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raul Zambrano's NPI active?
- Yes — Raul Zambrano's NPI (1598736472) is active in the NPPES registry as of the last update on 2020-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.