Advanced Endocrinology and Diabetes Center,

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

01045259 Issued in IN

Legal business name

ADVANCED ENDOCRINOLOGY AND DIABETES CENTER,

Practice address

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

Phone

(219) 945-0600

Fax

(219) 947-6939

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mohamed F Zeitoun, MDNPI 1356306799

Title

Medical Director/Ceo

Phone

(219) 945-0600

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed F Zeitoun, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hobart, IN
  • NPI 1356306799
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1619986379",
    "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",
            "address_2": "SUITE 1104",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426641",
            "telephone_number": "219-945-0600",
            "fax_number": "219-947-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDOCRINOLOGY AND DIABETES CENTER,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "ZEITOUN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "219-945-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01045259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200106010D",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200106010C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advance Pain & Rehabmd
• Advance Pain Care MD, PC
• Advanced Anesthesia Care M.D., P.C.
• Advanced Cardiovascular Care, PC
• Advanced Chiropractic Care, P.C.
• Advanced Lifestyle Care PC
• Advanced Pain and Rehab, M.D.P.C.
• Advanced Pain Care M.D., P.C.
• Advanced Surgical Care MD, PC
• Anwar Ahmad, M.D.

• Endocrinology, Diabetes & Metabolism Physician in Hobart, IN
• Providers in Hobart, IN by specialty
• Endocrinology, Diabetes & Metabolism Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.