Individual provider Active NPI

Zafar U Khalid, MD

  • Internal Medicine Physician
  • Merrillville, IN
National Provider Identifier
1689657975
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01034369 Issued in IN
Practice address
8550 Broadway
Merrillville, IN 46410-7032
Phone
(219) 769-3550
Fax
(219) 769-8604
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01034369 IN Primary

Addresses

Primary practice location

8550 Broadway
Merrillville, IN 46410-7032

Mailing address

PO Box 438
Crown Point, IN 46308-0438
Phone (219) 769-3550

Other identifiers 1

IdentifierTypeStateIssuer
100191320AMedicaidIN

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
I20040717000285 IN Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9133108699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Internal Medicine PCGroup PAC ID 5799857835, 2 clinicians

Practice addresses (Care Compare)

8550 Broadway
Suite C
Merrillville, IN 46410-7193
Phone (219) 769-3550

Hospital & facility affiliations

  • Methodist Home Care Services Home health agency, Merrillville, IN, CCN 157536
  • Powers Home Health Services Home health agency, Hobart, IN, CCN 157313
  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01034369INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Internal Medicine PC Internal Medicine CurrentSince Jun 1, 2008 Accepting new patients

Locations

8550 Broadway
Ste C
Merrillville, IN 46410
Phone (219) 769-3550

8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888

Interoperability endpoints

  • Direct secure messaging: zkhalid7475@themethodisthospitals.direct-ci.com
  • Direct secure messaging: zkhalid83189@direct.franciscanalliance.org

Organizations & group practices 1

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 8

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1689657975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463080438",
            "telephone_number": "219-769-3550",
            "fax_number": "219-769-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-769-3550",
            "fax_number": "219-769-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "ZAFAR",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01034369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100191320A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.