DR. ENAS AL ZAGHAL M.D
NPI 1689014730
Internal Medicine - Endocrinology, Diabetes & Metabolism in Norfolk, NE

Active since July 02, 2013PECOS EnrolledAccepts Medicare Assignment
3901 W NORFOLK AVE STE R, NORFOLK, NE 68701(402) 844-8110(402) 379-2349 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Enas Al Zaghal M.d NPPES

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

DR. ENAS AL ZAGHAL M.D (NPI 1689014730) is an individual endocrinology, diabetes & metabolism provider in Norfolk, Nebraska, licensed in Nebraska (30992) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and maintains a secondary practice location in Yankton.

NPPES Registry Identity

NPI1689014730
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ENAS AL ZAGHALCredential: M.D
Location Address3901 W NORFOLK AVE STE RNorfolk, NE 68701-9501
Mailing Address1104 W 8th StYankton, SD 57078-3306 · (605) 665-7841 · Fax (605) 665-8337
Fax(402) 379-2349
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 2, 2013
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
NPI 1689014730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in NE · 30992 Licensed in SD · 17483
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.
3901 W NORFOLK AVE STE R, Norfolk, NE 68701

Secondary Practice Location 1

Location 11104 W 8th StYankton, SD 57078-3306 · Phone (605) 665-7841 · Fax (605) 665-8337

Accepted 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

Dr. Enas Al Zaghal 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 ID941558795
PECOS Enrollment IDI20180810000095, I20250711003181
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 13

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.
286 services197 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.
123 services62 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
97 services69 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
89 services59 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
88 services64 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
54 services54 patients

Hospital Affiliations CMS Care Compare 5

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Columbus Community Hospital, Inc

Acute Care Hospitals · Columbus, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280111
Location4600 38th StColumbus, NE 68601 · Platte County
Emergency services Birthing friendly

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Boone County Health Center

Critical Access Hospitals · Albion, NE
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number281334
LocationP O Box 151, 723 West Fairview StAlbion, NE 68620 · Boone County
Emergency services

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430012
Location501 Summit StYankton, SD 57078 · Yankton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68701 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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
8 suppliers25 claims275 services$19.08 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers25 claims670 services$2.30 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers42 claims86 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers15 claims18 services$0.94 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier11 claims11 services$298.74 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
18 suppliers301 claims303 services$176.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Radiology)
3901 W NORFOLK AVE STE R
NORFOLK, NE 68701
Radiology (Diagnostic Radiology)
3901 W NORFOLK AVE STE R
NORFOLK, NE 68701

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 Enas Al Zaghal's NPI number?

The NPI number for Enas Al Zaghal is 1689014730. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Enas Al Zaghal located?

Enas Al Zaghal practices at 3901 W Norfolk Ave Ste R, Norfolk, NE 68701. The listed phone number is (402) 844-8110.

What is Enas Al Zaghal's specialty?

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

Is Enas Al Zaghal enrolled in Medicare?

Yes. Enas Al Zaghal 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 Enas Al Zaghal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Enas Al Zaghal 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 Enas Al Zaghal affiliated with any hospitals?

According to CMS data, Enas Al Zaghal is affiliated with Bryan Medical Center, Columbus Community Hospital, Inc, Faith Regional Health Services, Boone County Health Center and Avera Sacred Heart Hospital.

When was this NPI record last updated?

The NPPES record for Enas Al Zaghal was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.