DR. JACK H ZIEGLER M.D.
NPI 1609876861
Internal Medicine - Cardiovascular Disease in Hobart, IN
Quality Rating: 75 out of 100 score
NPI Status: Active since July 28, 2005
Contact Information
1400 S LAKE PARK AVE
SUITE 1400
HOBART, IN
ZIP 46342
Phone: (219) 942-6166
Fax: (219) 942-4106
- Individual
- Male
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About JACK ZIEGLER
This page provides the complete NPI Profile along with additional information for Jack Ziegler, an internist established in Hobart, Indiana with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1609876861 assigned on July 2005. The practitioner's primary taxonomy code is 207RC0000X with license number 01031712A (IN). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1609876861
- Provider Name
- DR. JACK H ZIEGLER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1400 S LAKE PARK AVE SUITE 1400 HOBART, IN 46342
- Location Phone
- (219) 942-6166
- Location Fax
- (219) 942-4106
- Mailing Address
- 1400 S LAKE PARK AVE SUITE 1400 HOBART, IN 46342
- Mailing Phone
- (219) 942-6166
- Mailing Fax
- (219) 942-4106
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-28-2005
- Last Update Date
- 09-24-2012
- Code Navigator
An internist like Jack Ziegler is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01031712A
- License State
- IN
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
192820O | MEDICARE PIN (08) | IN | |
060028792 | MEDICARE PIN (08) | IN | |
707880A | MEDICARE PIN (08) | IN | |
E03765 | MEDICARE UPIN (02) | IN | |
100386290A | MEDICAID (05) | IN |
Medicare Participation & PECOS Enrollment Status
Jack Ziegler is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days
Injection, regadenoson, 0.1 mg
Nuclear medicine studies of heart muscle at rest and with stress and spect
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Technetium tc-99m tetrofosmin, diagnostic, per study dose
Ultrasound of both sides of head and neck blood flow
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
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.
This service was performed 58 times for 37 patientsThis 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.
This service was performed 646 times for 511 patientsAn exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
This service was performed 52 times for 52 patientsThis procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.
This service was performed 21 times for 21 patientsA heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
This service was performed 20 times for 20 patientsRegadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
This service was performed 84 times for 21 patientsNuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 51 times for 51 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 141 times for 139 patientsTechnetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
This service was performed 102 times for 51 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 27 times for 27 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 94 times for 92 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 46342 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.49
- Minimum New Patient Price $53.07
- Maximum New Patient Price $161.76
- Average New Patient Copayment $30.62
- Minimum New Patient Copayment $13.26
- Maximum New Patient Copayment $40.44
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.48
- Minimum Established Patient Price $16.93
- Maximum Established Patient Price $132.22
- Average Established Patient Copayment $16.62
- Minimum Established Patient Copayment $4.23
- Maximum Established Patient Copayment $33.05
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 75 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Anticoagulant Management Improvements | Yes | N/A |
Individual MIPS eligible clinicians and groups who prescribe oral Vitamin K antagonist therapy (warfarin) must attest that, for 60 percent of practice patients in the transition year and 75 percent of practice patients in Quality Payment Program Year 2 and future years, their ambulatory care patients receiving warfarin are being managed by one or more of the following improvement activities: • Patients are being managed by an anticoagulant management service, that involves systematic and coordinated care, incorporating comprehensive patient education, systematic prothrombin time (PT-INR) testing, tracking, follow-up, and patient communication of results and dosing decisions; • Patients are being managed according to validated electronic decision support and clinical management tools that involve systematic and coordinated care, incorporating comprehensive patient education, systematic PT-INR testing, tracking, follow-up, and patient communication of results and dosing decisions; • For rural or remote patients, patients are managed using remote monitoring or telehealth options that involve systematic and coordinated care, incorporating comprehensive patient education, systematic PT-INR testing, tracking, follow-up, and patient communication of results and dosing decisions; and/or • For patients who demonstrate motivation, competency, and adherence, patients are managed using either a patient self-testing (PST) or patient-self-management (PSM) program. | ||
Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
Implementation of condition-specific chronic disease self-management support programs | Yes | N/A |
Provide condition-specific chronic disease self-management support programs or coaching or link patients to those programs in the community. | ||
Implementation of episodic care management practice improvements | Yes | N/A |
Provide episodic care management, including management across transitions and referrals that could include one or more of the following: Routine and timely follow-up to hospitalizations, ED visits and stays in other institutional settings, including symptom and disease management, and medication reconciliation and management; and/or Managing care intensively through new diagnoses, injuries and exacerbations of illness. | ||
Implementation of medication management practice improvements | Yes | N/A |
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
Improved Practices that Disseminate Appropriate Self-Management Materials | Yes | N/A |
Provide self-management materials at an appropriate literacy level and in an appropriate language. | ||
Invasive Procedure or Surgery Anticoagulation Medication Management | Yes | N/A |
For an anticoagulated patient undergoing a planned invasive procedure for which interruption in anticoagulation is anticipated, including patients taking vitamin K antagonists (warfarin), target specific oral anticoagulants (such as apixaban, dabigatran, and rivaroxaban), and heparins/low molecular weight heparins, documentation, including through the use of electronic tools, that the plan for anticoagulation management in the periprocedural period was discussed with the patient and with the clinician responsible for managing the patient’s anticoagulation. Elements of the plan should include the following: discontinuation, resumption, and, if applicable, bridging, laboratory monitoring, and management of concomitant antithrombotic medications (such as antiplatelets and nonsteroidal anti-inflammatory drugs (NSAIDs)). An invasive or surgical procedure is defined as a procedure in which skin or mucous membranes and connective tissue are incised, or an instrument is introduced through a natural body orifice. | ||
Practice Improvements for Bilateral Exchange of Patient Information | Yes | N/A |
Ensure that there is bilateral exchange of necessary patient information to guide patient care, such as Open Notes, that could include one or more of the following: • Participate in a Health Information Exchange if available; and/or • Use structured referral notes. |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 0 | 9 | 8 | 7 | 6 | 8 | 6 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 0 | 9 | 16 | 7 | 12 | 8 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 0 + 9 + 1 + 6 + 7 + 1 + 2 + 8 + 1 + 2 + 24 = 69 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 69 = 1 | 1 |
The NPI number 1609876861 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1780689984 | DR. PAUL J STANISH MD Individual | Surgery | 1400 S LAKE PARK AVE STE 200 HOBART, IN 46342 (219) 947-6122 |
1093710105 | MRS. HOLLY ELIZABETH RAIMONDI PA-C Individual | Physician Assistant (Surgical) | 1400 S LAKE PARK AVE STE 200 HOBART, IN 46342 (219) 947-6122 |
1043217383 | DR. RICHARD J BROWNE MD Individual | Surgery | 1400 S LAKE PARK AVE STE 200 HOBART, IN 46342 (219) 947-6122 |
1861492993 | DOUGLAS C DEDELOW DO Individual | Obstetrics & Gynecology | 1400 S LAKE PARK AVE STE 205 HOBART, IN 46342 (219) 942-8620 |
1578555496 | IBRAHIM GEORGE ZABANEH MD Individual | Family Medicine | 1400 S LAKE PARK AVE STE 500 HOBART, IN 46342 (219) 942-7299 |
1821084773 | VIJAY P SHAH MD Individual | Internal Medicine (Cardiovascular Disease) | 1400 S LAKE PARK AVE 500 HOBART, IN 46342 (219) 942-7463 |
1316950587 | CHERYL LYNN NUSS NURSE PRACTITIONER Individual | Nurse Practitioner | 1400 S LAKE PARK AVE STE. 305 HOBART, IN 46342 (219) 945-1523 |
1316140882 | HUNG DANG DO Individual | Surgery | 1400 S LAKE PARK AVE STE 200 HOBART, IN 46342 (219) 942-6122 |
1881889491 | PERRY E ZACK DO Organization | Family Medicine | 1400 S LAKE PARK AVE SUIT 405 HOBART, IN 46342 (219) 945-0090 |
1265752927 | DAVID G. GROSS, D.O., P.C. Organization | Ophthalmology | 1400 S LAKE PARK AVE SUITE 103 HOBART, IN 46342 (219) 947-4410 |
1710987003 | DR. ZLATAN STEPANOVIC M.D. Individual | Internal Medicine (Cardiovascular Disease) | 1400 S LAKE PARK AVE SUITE 400 HOBART, IN 46342 (219) 942-6166 |
1205836335 | DAVID C WILKS MD Individual | Urology | 1400 S LAKE PARK AVE SUITE 105 HOBART, IN 46342 (219) 942-5599 |
1689785321 | AMY KRISTIN MULCAHY PA-C Individual | Physician Assistant | 1400 S LAKE PARK AVE SUITE 400 HOBART, IN 46342 (219) 942-6166 |
1598876245 | MARY MARGARET FRICK NP-BC Individual | Nurse Practitioner | 1400 S LAKE PARK AVE SUITE 400 HOBART, IN 46342 (219) 942-6166 |
1104252246 | COMMUNITY CARE NETWORK, INC Organization | Urology | 1400 S LAKE PARK AVE SUITE 105 HOBART, IN 46342 (219) 942-5544 |
1467857136 | JENNIFER LYNN KLAICH NP-C Individual | Nurse Practitioner (Family) | 1400 S LAKE PARK AVE SUITE 300 HOBART, IN 46342 (219) 947-6711 |
1144699927 | KATHY NOBLES FNP-C Organization | Clinic/Center (Primary Care) | 1400 S LAKE PARK AVE SUITE 405 HOBART, IN 46342 (219) 945-0090 |
1497103352 | JENNIFER R CORSBIE PA-C Individual | Physician Assistant | 1400 S LAKE PARK AVE SUITE 200 HOBART, IN 46342 (219) 947-6122 |
1609318922 | MEGAN DOHENY MSN, WHNP-BC Individual | Nurse Practitioner (Women's Health) | 1400 S LAKE PARK AVE SUITE 205 HOBART, IN 46342 (219) 942-8620 |
1003350067 | TINA CRUM CNM Individual | Advanced Practice Midwife | 1400 S LAKE PARK AVE HOBART, IN 46342 (219) 942-8620 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609876861, enumerated in the NPI registry as an "individual" on July 28, 2005
The provider is located at 1400 S Lake Park Ave Suite 1400 Hobart, In 46342 and the phone number is (219) 942-6166
The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $122.49 with an average copayment of $30.62 for new patient appointments. Established patients should expect a typical charge of $66.48 and an average copayment of 16.62. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician, Heart rhythm recording continous external ekg over more than 48 hours up to 7 days, Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days, Injection, regadenoson, 0.1 mg, Nuclear medicine studies of heart muscle at rest and with stress and spect, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report, Technetium tc-99m tetrofosmin, diagnostic, per study dose, Ultrasound of both sides of head and neck blood flow and Ultrasound of heart with color-depicted blood flow, rate, direction and valve function.
This NPI record was last updated on July 28, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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