Individual provider Active NPI

Zachary Dezeeuw, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Fort Worth, TX
National Provider Identifier
1750959391
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
W6611 Issued in TX
Practice address
1201 Summit Ave
Ft Worth, TX 76102-4413
Phone
(817) 332-2020
NPI assigned
Jun 10, 2021
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X W6611 TX Primary
Ophthalmology Physician 207W00000X W6611 TX

Addresses

Primary practice location

1201 Summit Ave
Ft Worth, TX 76102-4413

Mailing address

1201 Summit Ave
Ft Worth, TX 76102-4413
Phone (817) 332-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250707002683 NC Practitioner - Ophthalmology 6800300484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

40 Duke Medicine Cir
Durham, NC 27710-3810
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10074447TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 7, 2025 Accepting new patients

Locations

2000 Regency Pkwy
Cary, NC 27518
Phone (919) 238-0008

234 Crooked Creek Pkwy
Ste 100
Durham, NC 27713

2351 Erwin Rd
Durham, NC 27705
Phone (919) 282-0053

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

5601 Arringdon Park Dr
Morrisville, NC 27560
Phone (888) 275-3853

3480 Wake Forest Rd
Ste 300
Raleigh, NC 27609
Phone (919) 862-5380

Interoperability endpoints

  • Direct secure messaging: zdezeeuw651101@direct.medicine.duke.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1750959391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SUMMIT AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761024413",
            "telephone_number": "817-332-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SUMMIT AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761024413",
            "telephone_number": "817-332-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEZEEUW",
        "first_name": "ZACHARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "TX",
            "license": "W6611",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "W6611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.