Individual provider Active NPI

Mohamed F Zeitoun, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hobart, IN
National Provider Identifier
1356306799
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
01045259 Issued in IN
Practice address
1600 S Lake Park Ave Ste 1104
Hobart, IN 46342-6641
Phone
(219) 945-0600
Fax
(219) 947-6939
NPI assigned
Apr 19, 2006
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01045259 IN Primary

Addresses

Primary practice location

1600 S Lake Park Ave Ste 1104
Hobart, IN 46342-6641

Mailing address

PO Box 10069
Merrillville, IN 46411-0069
Phone (219) 945-0600

Other practice location 1

1600 S Lake Park Ave
Suite 1104
Hobart, IN 46342-6641
Phone (219) 945-0600

Other practice location 2

3800 Saint Mary Rd Ste 101
Valparaiso, IN 46383-3986
Phone (219) 945-0600

Other identifiers 1

IdentifierTypeStateIssuer
200106010MedicaidIN

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
I20041122000734 IN Practitioner - EndocrinologyPractitioner - Internal Medicine 6002871779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1600 S Lake Park Ave
Suite 1104
Hobart, IN 46342-6641
Phone (219) 945-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.41 of 100Reported as individual
Quality
70.21
Promoting interoperability
79
Improvement activities
40
Cost
74.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Endocrinology and Diabetes Center, Endocrinology, Diabetes & Metabolism CurrentSince Jul 17, 2008 Accepting new patients

Locations

1600 S Lake Park Ave
Ste 1104
Hobart, IN 46342
Phone (219) 793-9801

55 E 86th Ave
Merrillville, IN 46410
Phone 2197691670207

3800 Saint Mary Rd
Ste 101
Valparaiso, IN 46383
Phone (219) 738-2081

Organizations & group practices 1

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 7

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1356306799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10069",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464110069",
            "telephone_number": "219-945-0600",
            "fax_number": "219-947-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S LAKE PARK AVE STE 1104",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426641",
            "telephone_number": "219-945-0600",
            "fax_number": "219-947-6939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 S Lake Park Ave",
            "address_2": "Suite 1104",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463426641",
            "country_code": "US",
            "telephone_number": "219-945-0600",
            "fax_number": "219-947-6939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Saint Mary Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463833986",
            "country_code": "US",
            "telephone_number": "219-945-0600",
            "fax_number": "219-947-6939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEITOUN",
        "first_name": "MOHAMED",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01045259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200106010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.