ZALAK PATEL FNP-C
NPI 1013665280
Nurse Practitioner - Family in East Chicago, IN

Q: What is Zalak Patel's NPI number?

The NPI number for Zalak Patel is 1013665280. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Q: What is Zalak Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Zalak Patel was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 16, 2022PECOS EnrolledAccepts Medicare Assignment

4320 FIR ST UNIT 320, EAST CHICAGO, IN 46312(219) 392-7992(219) 392-7987 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Zalak Patel Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZALAK PATEL FNP-C (NPI 1013665280) is an individual family provider in East Chicago, Indiana, licensed in Indiana (71012665A) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013665280

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameZALAK PATELCredential: FNP-C

Location Address4320 FIR ST UNIT 320East Chicago, IN 46312-3076

Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (192) 392-7084 · Fax (219) 703-6854

Phone(219) 392-7992

Fax(219) 392-7987

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 16, 2022

Last NPPES UpdateJune 29, 2022

NPPES CertifiedJune 29, 2022

✔ NPI 1013665280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IN · 71012665A✔ Licensed in FL · 9474757

4320 FIR ST UNIT 320, East Chicago, IN 46312

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zalak Patel Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638558836

PECOS Enrollment IDI20220617001846

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Zalak Patel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

219 Health Network Inc

1.3 mi

Family Medicine

100 W CHICAGO AVE STE F
East Chicago, IN 46312

Reassigned Medicare billing, Indiana enrollment
92 clinicians in this Medicare group

NPI 1093213506 (219) 392-7016

Community Care Network Inc

13 mi

Family Medicine

9660 WICKER AVE
St John, IN 46373

Reassigned Medicare billing, Indiana enrollment
607 clinicians in this Medicare group

NPI 1457610487 (219) 365-7620

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

156 services113 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

103 services73 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

60 services54 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

30 services30 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150008

Location4321 Fir StreetEast Chicago, IN 46312 · Lake County

Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

219 HEALTH NETWORK, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

4320 FIR ST UNIT 320
EAST CHICAGO, IN 46312

Lake County (219) 392-7992

ARIF KHALIL M.D.

Internal Medicine (Interventional Cardiology)

4320 FIR ST UNIT 320
EAST CHICAGO, IN 46312

Lake County (219) 392-7992

DR. DEAN MICHAEL FERRERA D.O.

Internal Medicine (Interventional Cardiology)

4320 FIR ST UNIT 320
EAST CHICAGO, IN 46312

Lake County (219) 392-7992

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zalak Patel's NPI number?

The NPI number for Zalak Patel is 1013665280. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Where is Zalak Patel located?

Zalak Patel practices at 4320 Fir St Unit 320, East Chicago, IN 46312. The listed phone number is (219) 392-7992.

What is Zalak Patel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Zalak Patel enrolled in Medicare?

Yes. Zalak Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Zalak Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zalak Patel reassigns Medicare benefits to 2 organizations: 219 Health Network Inc (East Chicago, IN) and Community Care Network Inc (St John, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zalak Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zalak Patel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Zalak Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Zalak Patel affiliated with any hospitals?

According to CMS data, Zalak Patel is affiliated with St Catherine Hospital Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Zalak Patel was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.