Active NPI
Zaher Al Dik, MD
- Internal Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01064860A
- 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.
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1871178368
IN, Internal Medicine
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
IN, Internal Medicine
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
Internal Medicine
-
- Family Medicine Physician
- Lima, OH
- NPI 1225292865
Internal Medicine
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 120028 | CA | MD | Marriage & Family Therapist |
| 01064860A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Physicians of Indiana, PC | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Apogee Medical Group Indiana PC | Internal Medicine | Past | 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
- zaldik1158549@direct.trinity-health.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01064860A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.