| Ziad Youssef Fayad, MD | |
|
611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465 | |
| (574) 272-5347 | |
| (574) 272-8617 |
| Full Name | Ziad Youssef Fayad |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 24 Years |
| Location | 611 E Douglas Rd Ste 200, Mishawaka, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508025867 | NPI | - | NPPES |
| 201292160 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 01075159A (Indiana) | Primary |
| 208600000X | Surgery | 01075159A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Joseph Regional Medical Center Inc | 8325950843 | 126 |
| Entity Name | X-ray Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770536815 PECOS PAC ID: 7315859832 Enrollment ID: O20031118000632 |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Entity Name | Dialysis Vascular Specialists Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770220972 PECOS PAC ID: 5092194068 Enrollment ID: O20220622000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Ziad Youssef Fayad, MD 611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465 Ph: () - | Ziad Youssef Fayad, MD 611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465 Ph: (574) 272-5347 |
Dr. Sushruta Shantanu Nagarkatti, M.B.B.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 207, Mishawaka, IN 46545 Phone: 574-335-6850 Fax: 574-335-0849 | |
Jeffrey S Borders, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 S Main St Ste 200, Mishawaka, IN 46544 Phone: 574-398-2090 Fax: 574-807-6752 | |
Matthew K Folstein, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 E Douglas Rd Ste 207, Mishawaka, IN 46545 Phone: 574-335-6850 Fax: 574-335-0849 |