Individual provider Active NPI

Donna Lynn Zloza, M.D.

  • Pediatrics Physician
  • Hammond, IN
National Provider Identifier
1154529840
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01085577A Issued in IN
Practice address
4022 Hohman Ave
Hammond, IN 46327-1239
Phone
(219) 769-4005
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036.117168 IL
Pediatrics Physician 208000000X 01085577A IN Primary

Addresses

Primary practice location

4022 Hohman Ave
Hammond, IN 46327-1239

Mailing address

4022 Hohman Ave
Hammond, IN 46327-1239
Phone (219) 769-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211007000169 IN Practitioner - Pediatric Medicine 6901987130 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.117168ILMDPediatrics Physician
01085577AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Community Mental Health Center, Inc CurrentSince Jul 7, 2021 Accepting new patients
Southlake Community Mental Health Center Inc. CurrentSince Jul 7, 2021 Accepting new patients
Pediatric Faculty Foundation, Inc Past Accepting new patients
Southlake Community Mental Health Center, Inc. Past Accepting new patients

Locations

4022 Hohman Ave
Hammond, IN 46327
Phone (219) 937-3300

527 State St
Hammond, IN 46320
Phone (219) 803-7252

559 State St
Hammond, IN 46320
Phone (219) 937-3300

8400 Louisiana St
Merrillville, IN 46410
Phone (219) 757-1924

8555 Taft St
Merrillville, IN 46410
Phone (219) 736-7232

Interoperability endpoints

  • Direct secure messaging: donna.zloza.p1@direct.geminus.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1154529840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463271239",
            "telephone_number": "219-769-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463271239",
            "telephone_number": "219-769-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLOZA",
        "first_name": "DONNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.117168",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01085577A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

Verify at the official NPI Registry.