Individual provider Active NPI

Oleh Dzera, MD

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1255348371
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01034981A Issued in IN
Practice address
8401 Harcourt Rd
Indianapolis, IN 46260-2036
Phone
(317) 338-4600
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 19

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital and Health Center, Inc. 19 clinicians

Practice addresses (Care Compare)

1907 W Sycamore St
Kokomo, IN 46901-5148
Phone (765) 456-5950

Hospital & facility affiliations

  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20051216000115 IN Practitioner - PsychiatryPractitioner - Neurology 5991726044 Reassigns benefits to 9 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Indiana - Auditor of State CurrentSince Oct 15, 2024 Accepting new patients
Indiana University Health Bloomington Inc Psychiatry CurrentSince Aug 17, 2020 Accepting new patients
State of Indiana, Auditor of State CurrentSince Oct 15, 2024 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Psychiatry CurrentSince Apr 2, 2023 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Psychiatry CurrentSince Feb 1, 2024 Accepting new patients
Indiana University Health Bloomington Inc CurrentSince Aug 17, 2020 Accepting new patients
Aspire Indiana Inc. Psychiatry CurrentSince May 1, 2009 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Jan 1, 2021 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jan 1, 2021 Accepting new patients
Acute Behavioral Health Services, P.C. Psychiatry CurrentSince Jul 14, 2022 Accepting new patients
FWBH, LLC CurrentSince Jan 2, 2024 Accepting new patients
State of Indiana, Auditor of State Current Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Community Howard Regional Health, Inc Past Accepting new patients
Southlake Community Mental Health Center Inc. Past Accepting new patients
Indiana Health Group Inc Psychiatry Past Accepting new patients

Locations

2530 Reliable Pkwy
Chicago, IL 60686

3832 Solutions Ctr
Chicago, IL 60677

7987 Solution Ctr
Chicago, IL 60677

2020 Brown St
Anderson, IN 46016
Phone (317) 649-8161

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

3955 W Washington Center Rd
Fort Wayne, IN 46818
Phone (260) 800-3601

3955 W Washington Center Rd
#R
Fort Wayne, IN 46818

8401 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 338-4600

714 N Senate Ave
Ste 130
Indianapolis, IN 46202
Phone (317) 963-5582

8401 Harcourt Rd
Ste 302
Indianapolis, IN 46260
Phone (317) 338-4600

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

833 Park East Blvd
Lafayette, IN 47905
Phone (765) 441-3168

3733 Rome Dr
Lafayette, IN 47905
Phone (765) 446-9394

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

498 NW 18th St
Richmond, IN 47374
Phone (765) 966-0511

409 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0480

Interoperability endpoints

  • Direct secure messaging: odzera@direct.iuhealth.org
  • Direct secure messaging: oleh.dzera.1@7598.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01034981A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

8401 Harcourt Rd
Indianapolis, IN 46260-2036

Mailing address

8401 Harcourt Rd
Indianapolis, IN 46260-2036

Other practice location 1

2020 Brown St
Anderson, IN 46016-4218
Phone (765) 641-8389

Other practice location 2

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 741-3141

Other practice location 3

1720 Beacon St
Fort Wayne, IN 46805-4749
Phone (260) 373-8000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
200061920BMedicaidIN

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address odzera@direct.iuhealth.org Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2024.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1255348371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602036",
            "telephone_number": "317-338-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Brown St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460164218",
            "country_code": "US",
            "telephone_number": "765-641-8389",
            "fax_number": "317-674-0059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 W University Ave",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473033428",
            "country_code": "US",
            "telephone_number": "765-741-3141",
            "fax_number": "765-751-5087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Beacon St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468054749",
            "country_code": "US",
            "telephone_number": "260-373-8000",
            "fax_number": "260-373-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZERA",
        "first_name": "OLEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01034981A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200061920B",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "odzera@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 W University Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.