Individual provider Active NPI

Douglas A Zale, MD

  • Ophthalmology Physician
  • Chesterton, IN
National Provider Identifier
1982601449
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01036095A Issued in IN
Practice address
711 S Calumet Rd
Chesterton, IN 46304-3220
Phone
(219) 926-1001
Fax
(219) 929-1989
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01036095A IN Primary

Addresses

Primary practice location

711 S Calumet Rd
Chesterton, IN 46304-3220

Mailing address

711 S Calumet Rd
Chesterton, IN 46304-3220
Phone (219) 926-1001

Other identifiers 1

IdentifierTypeStateIssuer
100207650MedicaidIN

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100108000612 IN Practitioner - Ophthalmology 5193714988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2101 Burlington Beach Rd
Valparaiso, IN 46383-1665
Phone (219) 462-0309

711 S Calumet Rd
Chesterton, IN 46304-3220
Phone (219) 926-1001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.1 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery156

National Provider Directory

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

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1982601449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S CALUMET RD",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463043220",
            "telephone_number": "219-926-1001",
            "fax_number": "219-929-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S CALUMET RD",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463043220",
            "telephone_number": "219-926-1001",
            "fax_number": "219-929-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALE",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01036095A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100207650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

Verify at the official NPI Registry.