Individual provider Active NPI

Mary Kala Zorn, MD

  • Vascular Surgery Physician
  • New Orleans, LA
National Provider Identifier
1083009948
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
01088038A Issued in IN
Practice address
1415 Tulane Ave
New Orleans, LA 70112-2600
Phone
(504) 988-5263
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01088038A IN
Surgery Physician 208600000X PGY202791 LA
Vascular Surgery Physician 2086S0129X 036.151188 IL
Vascular Surgery Physician 2086S0129X 01088038A IN Primary

Addresses

Primary practice location

1415 Tulane Ave
New Orleans, LA 70112-2600

Mailing address

PO Box 843022
Kansas City, MO 64184-3022
Phone (317) 770-6900

Other practice location 1

2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 681-3200

Other practice location 2

325 Westfield Rd Ste A&b
Noblesville, IN 46060-1497
Phone (317) 770-4110

Other practice location 3

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211

Other identifiers 1

IdentifierTypeStateIssuer
300065499MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220810000997 IN Practitioner - Vascular Surgery 8325334352 Reassigns benefits to 1 organization
I20260513000281 OK Practitioner - Vascular Surgery 8325334352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Indiana University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal52
Leg revascularization (restoring blood flow)1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PGY202791LAMDSurgery Physician
036.151188ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital CurrentSince May 8, 2025 Accepting new patients
Major Hospital CurrentSince May 8, 2025 Accepting new patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients
Loyola University Medical Center Current Accepting new patients

Locations

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

5255 E Stop 11 Rd
Ste 200
Indianapolis, IN 46237
Phone (317) 528-1212

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: mzorn125818@direct.luhs.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1083009948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843022",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122600",
            "telephone_number": "504-988-5263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-681-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Westfield Rd Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460601497",
            "country_code": "US",
            "telephone_number": "317-770-4110",
            "fax_number": "317-770-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Intelliplex Dr",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768580",
            "country_code": "US",
            "telephone_number": "317-392-3211",
            "fax_number": "317-398-1851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZORN",
        "first_name": "MARY",
        "middle_name": "KALA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01088038A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "PGY202791",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036.151188",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01088038A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300065499",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.