NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1912079203 MD
Verify on CMS → Jose Najul Zambrana, MD
Gastroenterology Physician in Arecibo, Puerto Rico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 1K beneficiaries · Gastroenterology Physician avg: 833
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Jose Najul Zambrana, MD filed 7,118 Medicare Part D claims in 2023 as a Gastroenterology Physician in Arecibo, Puerto Rico.
- 7K
- Part D claims, 2023
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Jose Najul Zambrana, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
7,118 Top 4% higher than 96% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Jose Najul Zambrana, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Jose Najul Zambrana, MD?
Quality data not reportedPrimary specialty
Gastroenterology Physician
Medicare Part D claims
7,118 9× vs specialty avg
Specialty distribution in Puerto Rico
How Gastroenterology Physician compares to other specialties among Puerto Rico providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gastroenterology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Jose Najul Zambrana, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at CALLE ANA LENS DE SUSONI NOM 53, Arecibo, PR, 00612, with a listed phone of (787) 880-4808. NPI 1912079203 was issued on 11/14/2006.
Medicare Part D records for calendar year 2023 show 7,118 prescription claims written by this provider, covering 1,265 Medicare beneficiaries and totaling roughly $165K in drug spend.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1912079203 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/14/2006 |
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
7,118
Total Claims
$165K
Total Drug Cost
1,265
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 7,418
- Total Day Supply
- 172,258
- Generic Drug Cost
- $82K
- Antibiotic Claims
- 388
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 1.96
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 254, 65-74: 539, 75-84: 401, 85+: 71
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jose Najul Zambrana, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Famotidine
Famotidine
1,875 claims
- Pantoprazole Sodium
Pantoprazole Sodium
1,352 claims
- Omeprazole 590
Omeprazole
590 claims
- Sucralfate 400
Sucralfate
400 claims
- Dicyclomine Hcl 391
Dicyclomine Hcl
391 claims
- Hydrocortisone 305
Hydrocortisone
305 claims
- Midazolam Hcl 250
Midazolam Hcl
250 claims
- Ciprofloxacin Hcl 243
Ciprofloxacin Hcl
243 claims
| Drug | Claims |
|---|---|
| Famotidine | 1,875 |
| Pantoprazole Sodium | 1,352 |
| Omeprazole | 590 |
| Sucralfate | 400 |
| Dicyclomine Hcl | 391 |
| Hydrocortisone | 305 |
| Midazolam Hcl Midazolam Hcl/Pf | 250 |
| Ciprofloxacin Hcl | 243 |
| Flumazenil | 227 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Jose Najul Zambrana, MD fits within the Gastroenterology Physician landscape nationally.
16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Jose Najul Zambrana, MD's 7,118 claims are above the specialty average of 833.
Nearby Gastroenterology Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Najul Zambrana.
Dr. Yamilka Abreu Delgado
MD
Humacao, PR
Dr. Melvyn Acosta
M.D.
Hato Rey, PR
Dr. Mamie Annexy Lopez
MD
Manati, PR
Dr. Ivan Antunez Gonzalez
M.D.
Guaynabo, PR
Dr. Nestor Aponte-Reyes
MD
Manati, PR
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Puerto Rico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Puerto Rico
Frequently Asked Questions
What is Jose Najul Zambrana, MD's specialty? ▼
Jose Najul Zambrana, MD specializes in Gastroenterology Physician and practices in Arecibo, Puerto Rico. Credentials: MD.
How much does Jose Najul Zambrana, MD prescribe under Medicare Part D? ▼
In 2023, Jose Najul Zambrana, MD wrote 7,118 Medicare Part D claims totaling $165K in drug costs for 1,265 beneficiaries.
Where is Jose Najul Zambrana, MD located? ▼
Jose Najul Zambrana, MD is located at CALLE ANA LENS DE SUSONI NOM 53, Arecibo, PR, 00612. Phone: (787) 880-4808.
What is Jose Najul Zambrana, MD's NPI number? ▼
Jose Najul Zambrana, MD's National Provider Identifier (NPI) is 1912079203, issued on 11/14/2006.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Jose Najul Zambrana, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Jose Najul Zambrana, MD's most frequently prescribed drugs include Famotidine, Pantoprazole Sodium, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jose Najul Zambrana, MD accept Medicare? ▼
Jose Najul Zambrana, MD appears in CMS Medicare data with 7,118 Part D claims and 1,265 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jose Najul Zambrana, MD's credentials? ▼
Jose Najul Zambrana, MD's NPI is 1912079203 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.