NPIMap

Individual provider Active NPI

Khawaja Ahmed Salman Zaki, M.D.

  • Pulmonary Disease Physician
  • Evansville, IN
National Provider Identifier
1356676480
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01074382A Issued in IN
Practice address
519 Harriet St
Evansville, IN 47710-1715
Phone
(812) 450-7720
Fax
(812) 450-7730
NPI assigned
Oct 7, 2009
Last updated
Aug 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01074382A IN Primary

Addresses

Primary practice location

519 Harriet St
Evansville, IN 47710-1715

Mailing address

PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-7720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150605001792 IN Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3678894334 Reassigns benefits to 1 organization
I20211216002349 NY Practitioner - Pulmonary Disease 3678894334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862

519 Harriet St
Evansville, IN 47710-1715
Phone (812) 450-7720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Current Accepting new patients
Deaconess Hospital, Inc CurrentSince Jul 27, 2015 Accepting new patients
Deaconess Hospital Inc CurrentSince Jul 27, 2015 Accepting new patients
Nassau Health Care Corporation CurrentSince Oct 28, 2021 Accepting new patients
Nassau Health Care Corporation CurrentSince Oct 28, 2021 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation Past Accepting new patients

Locations

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Bldg A
East Meadow, NY 11554

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: kzaki79830@direct.deaconess.com

Organizations & group practices 7

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 2

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1356676480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-7720",
            "fax_number": "812-450-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 HARRIET ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101715",
            "telephone_number": "812-450-7720",
            "fax_number": "812-450-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKI",
        "first_name": "KHAWAJA",
        "middle_name": "AHMED SALMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01074382A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.