Individual provider Active NPI

Marwan Zayed, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1013094432
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005011 Issued in IL
Practice address
3631 N Harlem Ave
Chicago, IL 60634-2237
Phone
(773) 725-2953
Fax
(773) 725-2932
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005011 IL Primary

Addresses

Primary practice location

3631 N Harlem Ave
Chicago, IL 60634-2237

Mailing address

3631 N Harlem Ave
Chicago, IL 60634-2237
Phone (630) 290-8395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050624001068 IL Practitioner - Podiatry 4789629114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Footcare at Home PC.Group PAC ID 2163522616, 9 clinicians

Practice addresses (Care Compare)

3631 N Harlem Ave
Chicago, IL 60634-2237
Phone (773) 725-2953

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2436
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Footcare at Home PC Podiatrist CurrentSince May 1, 2024 Accepting new patients

Locations

3631 N Harlem Ave
Chicago, IL 60634
Phone (773) 653-2118

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8350/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1013094432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342237",
            "telephone_number": "630-290-8395",
            "fax_number": "773-725-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342237",
            "telephone_number": "773-725-2953",
            "fax_number": "773-725-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYED",
        "first_name": "MARWAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.