Individual provider Active NPI

Zaher Al Dik, MD

  • Internal Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1891963344
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01064860A Issued in IN
Practice address
700 Broadway
Fort Wayne, IN 46802-1402
Phone
(260) 425-3000
NPI assigned
Feb 19, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20080917000577 IN Practitioner - Internal Medicine 1052488004 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120028CAMDMarriage & Family Therapist
01064860AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Galen Inpatient Physicians, PC Internal Medicine CurrentSince Oct 18, 2021 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Oct 18, 2021 Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine PastSince Oct 8, 2023 Accepting new patients
Mercy Health Physicians Lima, LLC Internal Medicine Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: zaldik1158549@direct.trinity-health.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01064860A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

700 Broadway
Fort Wayne, IN 46802-1402

Mailing address

2525 E Camelback Rd Ste 1100
Phoenix, AZ 85016-4282
Phone (602) 778-3600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2008.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1891963344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E CAMELBACK RD STE 1100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164282",
            "telephone_number": "602-778-3600",
            "fax_number": "602-778-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROADWAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021402",
            "telephone_number": "260-425-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL DIK",
        "first_name": "ZAHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01064860A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.