Individual provider Active NPI

Chad Charles Zatezalo, M.D.

  • Ophthalmology Physician
  • Chevy Chase, MD
National Provider Identifier
1861603524
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D74823 Issued in MD
Practice address
8401 Connecticut Ave Ste 640
Chevy Chase, MD 20815-9904
Phone
(301) 304-6600
Fax
(301) 304-6601
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MT189272 PA
Ophthalmology Physician 207W00000X D74823 MD Primary

Addresses

Primary practice location

8401 Connecticut Ave Ste 640
Chevy Chase, MD 20815-9904

Mailing address

8401 Connecticut Ave Ste 640
Chevy Chase, MD 20815-9904
Phone (301) 304-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20121031000056 DC Practitioner - Ophthalmology 4183818321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8401 Connecticut Ave
Suite 640
North Chevy Chase, MD 20815-9904
Phone (301) 304-6600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT189272PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Eye Physicians & Surgeons, P.C. Ophthalmology CurrentSince Sep 10, 2012 Accepting new patients
Chad Zatezalo MD LLC CurrentSince Feb 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University of Miami Past Accepting new patients

Locations

5454 Wisconsin Ave
Ste 950
Chevy Chase, MD 20815
Phone (301) 654-5114

8401 Connecticut Ave
Ste 640
North Chevy Chase, MD 20815
Phone (301) 304-6600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1861603524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 640",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208159904",
            "telephone_number": "301-304-6600",
            "fax_number": "301-304-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 640",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208159904",
            "telephone_number": "301-304-6600",
            "fax_number": "301-304-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATEZALO",
        "first_name": "CHAD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-02-15",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MT189272",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D74823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.