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MOHAMED F ZEITOUN MD
NPI 1356306799
Internal Medicine - Endocrinology, Diabetes & Metabolism in Hobart, IN

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
76.31/100
CMS Quality Rating
1600 S LAKE PARK AVE STE 1104, HOBART, IN 46342(219) 945-0600(219) 947-6939 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mohamed F Zeitoun Md NPPES

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

MOHAMED F ZEITOUN MD (NPI 1356306799) is an individual endocrinology, diabetes & metabolism provider in Hobart, Indiana, licensed in Indiana (01045259) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1356306799
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMOHAMED F ZEITOUNCredential: MD
Location Address1600 S LAKE PARK AVE STE 1104Hobart, IN 46342-6641
Mailing AddressPo Box 10069Merrillville, IN 46411-0069 · (219) 945-0600 · Fax (219) 947-6939
Phone(219) 945-0600
Fax(219) 947-6939
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateApril 19, 2006
Last NPPES UpdateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1356306799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in IN · 01045259
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1600 S LAKE PARK AVE STE 1104, Hobart, IN 46342
Open in Google Maps ↗

Other Identifiers 1

Medicaid200106010IN

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 and accepts Medicare assignment

Mohamed F Zeitoun Md 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 ID6002871779
PECOS Enrollment IDI20041122000734
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.

Areas of Expertise CMS Part B claims 3

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.

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.
1,761 services721 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
633 services88 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
101 services101 patients

Hospital Affiliations CMS Care Compare 5

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter 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

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46342 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.12
Promoting Interoperability82
Improvement Activities40
Cost54.19

Reported Quality Measures

Controlling High Blood Pressure
62%1,499 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
63%1,201 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
90%1,201 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%4,462 patients5/55-star benchmark: 100%
e-Prescribing
99%7,865 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,120 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
72%2,379 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,409 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%1,413 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,033 patients
Patients screened: 95% · 1,033 patients
88%97 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
73%2,398 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,180 patients
Patients totalRate: 17% · 1,180 patients
17%1,180 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers84 claims1,014 services$17.73 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers83 claims2,590 services$2.30 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
4 suppliers62 claims62 services$178.47 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
62 suppliers502 claims1,930 services$5.84 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
6 suppliers28 claims28 services$2.72 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
6 suppliers15 claims15 services$1.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mohamed Zeitoun's NPI number?

The NPI number for Mohamed Zeitoun is 1356306799. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Mohamed Zeitoun located?

Mohamed Zeitoun practices at 1600 S Lake Park Ave Ste 1104, Hobart, IN 46342. The listed phone number is (219) 945-0600.

What is Mohamed Zeitoun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mohamed Zeitoun enrolled in Medicare?

Yes. Mohamed Zeitoun 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.

What insurance does Mohamed Zeitoun accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mohamed Zeitoun 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 Mohamed Zeitoun affiliated with any hospitals?

According to CMS data, Mohamed Zeitoun is affiliated with Methodist Hospitals Inc, St Mary Medical Center Inc, Northwest Health - Porter, Community Hospital and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Mohamed Zeitoun was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.