Active NPI
Andrzej Zeglen
- Infectious Disease Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 02006905A
- Practice address
- 520 Mary St Ste 230
Evansville, IN 47710-1678 - Phone
- (812) 450-8600
- NPI assigned
- Jun 9, 2017
- Last updated
- Dec 7, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036152411 | IL | MD | Internal Medicine Physician |
| 02006905A | IN | MD | Infectious Disease Physician |
| TP218 | KY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc | Current | 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 | Current | 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
- 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.
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
dba Deaconess Clinic I
- Family Medicine Physician
- Morganfield, KY
- NPI 1891941688
Internal Medicine
-
- Pediatrics Physician
- Washington, IN
- NPI 1356132310
-
dba Deaconess Clinic - Infectious Disease Mary Street
- Infectious Disease Physician
- Evansville, IN
- NPI 1902425812
-
dba Deaconess Clinic Klutey Park
- Family Medicine Physician
- Henderson, KY
- NPI 1104445014
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- Critical Access Hospital
- Princeton, IN
- NPI 1558346007
-
dba Deaconess Henderson Hospital
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.