Individual provider Active NPI

Adeela Masood Alizai, MD

  • Ophthalmology Physician
  • Mishawaka, IN
National Provider Identifier
1306852520
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01068564A Issued in IN
Practice address
3809 N Main St Ste 100B
Mishawaka, IN 46545-3109
Phone
(574) 520-1700
Fax
(833) 989-0916
NPI assigned
Jul 31, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01068564A IN Primary

Addresses

Primary practice location

3809 N Main St Ste 100B
Mishawaka, IN 46545-3109

Mailing address

14751 Brick Rd
Granger, IN 46530-7656
Phone (219) 252-4551

Other practice location 1

3809 N Main St Ste 100
Mishawaka, IN 46545-3109
Phone (574) 520-1700

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
I20100923001574 IN Practitioner - Ophthalmology 3779609011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honor Physicians LLCGroup PAC ID 4981938164, 4 clinicians

Practice addresses (Care Compare)

3809 N Main St
Suite 100
Mishawaka, IN 46545-3109
Phone (574) 520-1700

53779 Generations Dr
Suite a
South Bend, IN 46635-1576
Phone (574) 999-4098

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01068564AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honor Physicians, LLC CurrentSince Apr 1, 2024 Accepting new patients
Franciscan Physician Network PastSince Aug 1, 2011 Accepting new patients

Locations

3809 N Main St
Ste 10
Mishawaka, IN 46545
Phone (574) 520-1700

3809 N Main St
Ste 100
Mishawaka, IN 46545
Phone (574) 520-1700

3809 N Main St
Ste 100B
Mishawaka, IN 46545
Phone (574) 520-1700

Interoperability endpoints

  • Direct secure messaging: adeela.alizai.2@22250.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1306852520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14751 BRICK RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307656",
            "telephone_number": "219-252-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 N MAIN ST STE 100B",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453109",
            "telephone_number": "574-520-1700",
            "fax_number": "833-989-0916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3809 N Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465453109",
            "country_code": "US",
            "telephone_number": "574-520-1700",
            "fax_number": "833-989-0916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIZAI",
        "first_name": "ADEELA",
        "middle_name": "MASOOD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01068564A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.