Active NPI
Mohamed Zitun, MD
- Gastroenterology Physician
- Kokomo, IN
National Provider Identifier
1184146367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 01092809A
- Practice address
- 3505 S Reed Rd
Kokomo, IN 46902-3838 - Phone
- (765) 776-5500
- NPI assigned
- Jul 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10059588 | TX | |
| Gastroenterology Physician | 207RG0100X | 01092809A | IN | Primary |
Addresses
Primary practice location
3505 S Reed Rd
Kokomo, IN 46902-3838
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
3601 4th St # MS 9410
Lubbock, TX 79430-0002
Phone (806) 743-3155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300092073 | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3505 S Reed Rd
Kokomo, IN 46902-3838
Phone (765) 776-5500
Hospital & facility affiliations
- Community Howard Regional Health Inc.
- Ascension St Vincent Kokomo
- Marion General Hospital
- Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 51 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 86 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
3505 S Reed Rd
Kokomo, IN 46902
Phone (765) 453-8666
Interoperability endpoints
- mzitun577442@ecommunitydirect.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1184146367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 S REED RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469023838",
"telephone_number": "765-776-5500"
}
],
"practiceLocations": [
{
"address_1": "3601 4th St # MS 9410",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794300002",
"country_code": "US",
"telephone_number": "806-743-3155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZITUN",
"first_name": "MOHAMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-10",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10059588",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01092809A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300092073",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.