Individual provider Active NPI

Andrzej Zeglen

  • Infectious Disease Physician
  • Evansville, IN
National Provider Identifier
1578092805
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
02006905A Issued in IN
Practice address
520 Mary St Ste 230
Evansville, IN 47710-1678
Phone
(812) 450-8600
NPI assigned
Jun 9, 2017
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TP218 KY
Internal Medicine Physician 207R00000X 036152411 IL
Infectious Disease Physician 207RI0200X 02006905A IN Primary
Hospitalist Physician 208M00000X 036152411 IL

Addresses

Primary practice location

520 Mary St Ste 230
Evansville, IN 47710-1678

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6815

Other practice location 1

700 E Ogden Ave Ste 202
Westmont, IL 60559-1296
Phone (630) 528-3215

Other practice location 2

501 E Broadway Ste 100
Louisville, KY 40202-1797
Phone (502) 852-1603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221207000710 IN Practitioner - Infectious Disease 6901142405 Reassigns benefits to 1 organization
I20250327000594 KY Practitioner - Infectious Disease 6901142405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Midwestern University, Chicago College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, shared by 10 NPIs, 411 clinicians

Practice addresses (Care Compare)

1300 Merritt Dr
Henderson, KY 42420-2788
Phone (270) 827-0064

520 Mary St
Suite 230
Evansville, IN 47710-1678
Phone (812) 450-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036152411ILMDInternal Medicine Physician
02006905AINMDInfectious Disease Physician
TP218KYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc CurrentSince Dec 26, 2024 Accepting new patients
Deaconess Clinic Inc CurrentSince Oct 28, 2022 Accepting new patients
Deaconess Clinic Inc. Internal Medicine Current Accepting new patients
Deaconess Clinic, Inc Internal Medicine Current Accepting new patients
Deaconess Clinic, Inc Infectious Disease CurrentSince Oct 28, 2022 Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

520 Mary St
Ste 230
Evansville, IN 47710
Phone (812) 450-8600

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1300 Merritt Dr
Henderson, KY 42420
Phone (270) 824-0064

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Interoperability endpoints

  • Direct secure messaging: azeglen233310@direct.deaconess.com

Organizations & group practices 5

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 4

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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1578092805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MARY ST STE 230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101678",
            "telephone_number": "812-450-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Ogden Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605591296",
            "country_code": "US",
            "telephone_number": "630-528-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Broadway Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021797",
            "country_code": "US",
            "telephone_number": "502-852-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEGLEN",
        "first_name": "ANDRZEJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "TP218",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036152411",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "02006905A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036152411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.