Individual provider Active NPI

Nathaniel V Zuziak, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Lafayette, IN
National Provider Identifier
1639557580
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
02005818A Issued in IN
Practice address
950 Park East Blvd
Lafayette, IN 47905-0792
Phone
(765) 237-5613
NPI assigned
May 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 02005818A IN Primary

Addresses

Primary practice location

950 Park East Blvd
Lafayette, IN 47905-0792

Mailing address

2637 N Washington Blvd # 164
North Ogden, UT 84414-2240
Phone (214) 970-6817

Other practice location 1

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-7695

Other practice location 2

11700 N Meridian St
Carmel, IN 46032
Phone (214) 970-6817

Other practice location 3

5165 McCarty Ln
Lafayette, IN 47905
Phone (214) 970-6817

Other practice location 4

1260 City Center Dr
Carmel, IN 46032
Phone (214) 970-6817

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nathanielzuziak@ernesthealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191019000083 IN Practitioner - Physical Medicine and Rehabilitation 9739433533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transcendent Physiatry and Rehabilitation LLCGroup PAC ID 1850707514, 7 clinicians

Practice addresses (Care Compare)

Lafayette, IN 47901
Phone (214) 970-6817

1260 City Ctr Dr
Carmel, IN 46032-3810
Phone (214) 970-6817

950 Park E Blvd
Lafayette, IN 47905-0792
Phone (765) 237-5613

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Transcendent Physiatry and Rehabilitation Florida PA Physical Medicine & Rehabilitation CurrentSince Sep 14, 2025 Accepting new patients
Transcendent Physiatry and Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Jan 30, 2021 Accepting new patients
Vibra Physicians LLC CurrentSince Sep 13, 2019 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

1260 City Center Dr
Ste 320
Carmel, IN 46032

1260 City Center Dr
Carmel, IN 46032
Phone (463) 333-9110

9509 Georgia St
Crown Point, IN 46307
Phone (219) 472-2200

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

950 Park East Blvd
Lafayette, IN 47905
Phone (765) 237-5613

4807 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 243-7727

1048 Sagamore Pkwy W
#B
West Lafayette, IN 47906
Phone (708) 459-6077

2637 N Washington Blvd
Ogden, UT 84414
Phone (385) 244-0489

Organizations & group practices 3

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.

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1639557580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 N WASHINGTON BLVD # 164",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142240",
            "telephone_number": "214-970-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PARK EAST BLVD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479050792",
            "telephone_number": "765-237-5613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Beach 19th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914423",
            "country_code": "US",
            "telephone_number": "718-869-7695",
            "fax_number": "718-869-8592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11700 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "46032",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5165 McCarty Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "47905",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 City Center Dr",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "46032",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUZIAK",
        "first_name": "NATHANIEL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "02005818A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nathanielzuziak@ernesthealth.com",
            "affiliation": "N",
            "endpointDescription": "secure work email",
            "address_1": "950 Park East Blvd",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479050792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.