ZELALEM BOGALE AMARE
NPI 1063116572
Dentist - General Practice in Fort Wayne, IN

Q: What is Zelalem Amare's NPI number?

The NPI number for Zelalem Amare is 1063116572. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Zelalem Amare's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Zelalem Amare was last updated on July 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2023PECOS Enrolled

1717 S CALHOUN ST, FORT WAYNE, IN 46802(260) 458-2641 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Zelalem Bogale Amare NPPES

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

ZELALEM BOGALE AMARE (NPI 1063116572) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (12014814A) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063116572

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameZELALEM BOGALE AMARE

Location Address1717 S CALHOUN STFort Wayne, IN 46802-5257

Mailing Address1717 S Calhoun StFort Wayne, IN 46802-5257 · (260) 458-2601

Phone(260) 458-2641

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 28, 2023

Last NPPES UpdateJuly 31, 2025

NPPES CertifiedJuly 31, 2025

✔ NPI 1063116572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12014814A

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1717 S CALHOUN ST, Fort Wayne, IN 46802

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zelalem Bogale Amare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557860830

PECOS Enrollment IDI20250814002852

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 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

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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

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Other Providers at the Same Location NPPES 20

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

RONALD R HALL M.D.

Pediatrics