Active NPI
Charles Paul Zakutansky, FNP-C
- General Practice Physician
- Highland, IN
National Provider Identifier
1316626146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 71014116A
- Practice address
- 9030 Cline Ave
Highland, IN 46322-2204 - Phone
- (219) 750-9497
- NPI assigned
- Jul 18, 2023
- Last updated
- Jul 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 71014116A | IN | Primary |
Addresses
Primary practice location
9030 Cline Ave
Highland, IN 46322-2204
Mailing address
2025 Cardinal Dr
Wheatfield, IN 46392-7361
Phone (219) 241-6945
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28245123A | Other | IN | INDIANA NURSING BOARD |
| F04230288 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9030 Cline Ave
Highland, IN 46322-2204
Phone (219) 750-9497
Hospital & facility affiliations
- Elara Caring
- At Home Quality Care
- Franciscan Home Care
- Accentcare Home Health of Indiana
- Assured Home Healthcare Inc
- St Mary Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.32 of 100
- Quality
- 48.21
- Promoting interoperability
- 21
- Improvement activities
- 40
- Cost
- 55.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014116A | IN | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Housecall Doctors. P.C. | Current | Accepting new patients | |
| Housecall Doctors PC | Past | Accepting new patients |
Locations
9030 Cline Ave
Highland, IN 46322
Phone (219) 750-9474
8300 Broadway
Ste D1
Merrillville, IN 46410
Phone (219) 750-9497
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Merrillville, IN
- NPI 1396050142
-
- Podiatrist
- Merrillville, IN
- NPI 1407278377
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Schererville, IN
- NPI 1801816863
-
dba Franciscan Home Care
- Home Health Agency
- Hobart, IN
- NPI 1144225491
-
dba AccentCare Home Health of Indiana
- Home Health Agency
- Crown Point, IN
- NPI 1114474707
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1316626146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 CARDINAL DR",
"city": "WHEATFIELD",
"state": "IN",
"postal_code": "463927361",
"telephone_number": "219-241-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9030 CLINE AVE",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463222204",
"telephone_number": "219-750-9497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKUTANSKY",
"first_name": "CHARLES",
"middle_name": "PAUL",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "71014116A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA NURSING BOARD",
"identifier": "28245123A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
"identifier": "F04230288",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.