OSAMA ADNAN ZAGHMOUT M.D.
NPI 1659791788
Obstetrics & Gynecology in Highland, IN

Active since April 16, 2014PECOS EnrolledAccepts Medicare Assignment
3100 45TH ST, HIGHLAND, IN 46322(219) 922-1888 Get Directions Write a Review

NPPES record last updated: July 4, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Osama Adnan Zaghmout M.d. NPPES

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

OSAMA ADNAN ZAGHMOUT M.D. (NPI 1659791788) is an individual obstetrics & gynecology provider in Highland, Indiana, licensed in Indiana (01080439A) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1659791788
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameOSAMA ADNAN ZAGHMOUTCredential: M.D.
Location Address3100 45TH STHighland, IN 46322
Mailing Address3100 45th StHighland, IN 46322-3289 · (219) 226-2204
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 16, 2014
Last NPPES UpdateJuly 4, 2018
✔ NPI 1659791788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 01080439A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3100 45TH ST, Highland, IN 46322

Accepted 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

Osama Adnan Zaghmout M.d. 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 ID9032465992
PECOS Enrollment IDI20180706001356
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

2

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

Family Medicine
100 W CHICAGO AVE STE F
East Chicago, IN 46312
  • Reassigned Medicare billing, Indiana enrollment
  • 92 clinicians in this Medicare group
Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

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

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 46322 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
$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.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
3100 45TH ST
HIGHLAND, IN 46322
Clinic/Center (Federally Qualified Health Center (FQHC))
3100 45TH ST, STE 4
HIGHLAND, IN 46322
Physician Assistant (Medical)
3100 45TH ST, SUITE 3
HIGHLAND, IN 46322
Nurse Practitioner (Family)
3100 45TH ST
HIGHLAND, IN 46322
Family Medicine
3100 45TH ST, SUITE 3
HIGHLAND, IN 46322
Nurse Practitioner (Family)
3100 45TH ST
HIGHLAND, IN 46322
Nurse Practitioner (Family)
3100 45TH ST
HIGHLAND, IN 46322
Clinic/Center
3100 45TH ST
HIGHLAND, IN 46322

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 Osama Zaghmout's NPI number?

The NPI number for Osama Zaghmout is 1659791788. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Osama Zaghmout located?

Osama Zaghmout practices at 3100 45th St, Highland, IN 46322. The listed phone number is (219) 922-1888.

What is Osama Zaghmout's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Osama Zaghmout enrolled in Medicare?

Yes. Osama Zaghmout 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 Osama Zaghmout's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Osama Zaghmout 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 Osama Zaghmout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Osama Zaghmout accept?

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

According to CMS data, Osama Zaghmout is affiliated with St Mary Medical Center Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Osama Zaghmout was last updated on July 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.