NPIMap

Individual provider Active NPI

Ehssan Zare, DO

  • Surgery Physician
  • Green Bay, WI
National Provider Identifier
1972826618
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1676-321 Issued in WI
Practice address
835 S Van Buren St
Green Bay, WI 54301-3526
Phone
(920) 496-4700
NPI assigned
Mar 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1676-321 WI Primary
Surgery Physician 208600000X 5101018620 MI

Addresses

Primary practice location

835 S Van Buren St
Green Bay, WI 54301-3526

Mailing address

PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700

Other practice location 1

22201 Moross Rd Ste 150
Detroit, MI 48236-2152
Phone (313) 343-4867

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ezare349695@ewd.direct.hshs.org Direct St Vincent Hospital-Hospital Sisters-Third Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160617001717 MI Practitioner - General Surgery 5294057923 Reassigns benefits to 4 organizations
I20220421000236 WI Practitioner - General Surgery 5294057923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgeons PCGroup PAC ID 6002956265, 15 clinicians
Critical Care Surgeons PLLCGroup PAC ID 3971645599, 5 clinicians
Northwest Surgical Associates PCGroup PAC ID 3476624701, 3 clinicians

Practice addresses (Care Compare)

Southfield, MI 48075
Phone (248) 849-3000

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

27209 Lahser Rd
Suite 128
Southfield, MI 48034-8402
Phone (248) 353-0200

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018620MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Surgery CurrentSince Oct 16, 2021 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Apr 1, 2022 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Apr 1, 2022 Accepting new patients
Comprehensive Surgical Associates PLLC Surgery Current Accepting new patients
The Zare Group Surgery CurrentSince Jan 17, 2022 Accepting new patients
Critical Care Surgeons PLLC CurrentSince Aug 1, 2016 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Apr 1, 2022 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Surgery CurrentSince Apr 1, 2022 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Oct 16, 2021 Accepting new patients
Northwest Surgical Associates PC Surgery CurrentSince Aug 1, 2016 Accepting new patients
St. John Hospital Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Surgery Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22201 Moross Rd
Ste 150
Grosse Pointe, MI 48236
Phone (313) 343-7110

47601 Grand River Ave
Ste D101
Novi, MI 48374

27209 Lahser Rd
Ste 128
Southfield, MI 48034
Phone (248) 353-0200

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Interoperability endpoints

  • Direct secure messaging: ezare349695@ewd.direct.hshs.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1972826618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19070",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543079070",
            "telephone_number": "920-496-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S VAN BUREN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013526",
            "telephone_number": "920-496-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22201 Moross Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362152",
            "country_code": "US",
            "telephone_number": "313-343-4867",
            "fax_number": "313-343-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZARE",
        "first_name": "EHSSAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "1676-321",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101018620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ezare349695@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "835 S Van Buren St",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543013526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.