Active NPI
Ziad Youssef Fayad, MD
- Vascular Surgery Physician
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 01075159A
- Practice address
- 611 E Douglas Rd Ste 200
Mishawaka, IN 46545-1465 - Phone
- (574) 272-5347
- Fax
- (574) 272-8617
- NPI assigned
- Jun 3, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 01075159A | IN | Primary |
| Surgery Physician | 208600000X | 01075159A | IN |
Addresses
Primary practice location
611 E Douglas Rd Ste 200
Mishawaka, IN 46545-1465
Mailing address
611 E Douglas Rd Ste 200
Mishawaka, IN 46545-1465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201292160 | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 E Douglas Rd
Mishawaka, IN 46545-1465
Phone (574) 335-6060
Hospital & facility affiliations
- Saint Joseph Regional Medical Center
- Saint Joseph Regional Medical Center - Plymouth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dialysis Vascular Specialists of Indiana LLC | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| X-Ray Consultants Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Vascular Surgery | Current | Accepting new patients |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
2140 N Capitol Ave
Ste 200
Indianapolis, IN 46202
2140 N Capitol Ave
Ste 100
Indianapolis, IN 46202
Phone (317) 644-1404
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
611 E Douglas Rd
Ste 207
Mishawaka, IN 46545
Phone (574) 335-6450
60205 Bodnar Blvd
Mishawaka, IN 46544
Phone (574) 232-2177
611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232
611 E Douglas Rd
Ste 308
Mishawaka, IN 46545
Phone (574) 236-1888
611 E Douglas Rd
Ste 200
Mishawaka, IN 46545
Phone (574) 272-5347
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987
707 Cedar St
Ste 200
South Bend, IN 46617
Phone (574) 237-1328
121 S Saint Louis Blvd
South Bend, IN 46617
Phone (219) 233-3123
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
Interoperability endpoints
- zfayad@legacy.streamlinemddirect.com
- zfayad1158647@direct.trinity-health.org
Organizations & group practices 6
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.
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
Vascular Surgery
-
- Vascular & Interventional Radiology Physician
- Indianapolis, IN
- NPI 1770220972
-
- Diagnostic Radiology Physician
- South Bend, IN
- NPI 1770536815
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1508025867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 E DOUGLAS RD STE 200",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E DOUGLAS RD STE 200",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451465",
"telephone_number": "574-272-5347",
"fax_number": "574-272-8617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAYAD",
"first_name": "ZIAD",
"middle_name": "YOUSSEF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IN",
"license": "01075159A",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01075159A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201292160",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.