Individual provider Active NPI

Scott Allen Zimmerman, D.P.M.

  • Podiatrist
  • Lombard, IL
National Provider Identifier
1073507331
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Practice address
10 E 22ND St
Suite 205
Lombard, IL 60148-4977
Phone
(630) 953-8088
Fax
(630) 953-8094
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X IL Primary

Addresses

Primary practice location

10 E 22ND St
Suite 205
Lombard, IL 60148-4977

Mailing address

10 E 22ND St
Suite 205
Lombard, IL 60148-4977
Phone (630) 953-8088

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
I20070725000041 IL Practitioner - Podiatry 7012018781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-003422ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a Zimmerman, D.P.M., LTD. Podiatrist CurrentSince Jan 1, 1982 Accepting new patients
Baaltz Mobile Health Services Inc CurrentSince Jun 8, 2011 Accepting new patients

Locations

1226 W Taylor St
Chicago, IL 60607
Phone (312) 243-3761

3059 W 26th St
Chicago, IL 60623
Phone (312) 243-3769

339 9th Ave
Lagrange Hlds, IL 60525
Phone (708) 354-4660

10 E 22nd St
Ste 205
Lombard, IL 60148
Phone (630) 953-8088

Organizations & group practices 2

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1073507331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST",
            "address_2": "SUITE 205",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484977",
            "telephone_number": "630-953-8088",
            "fax_number": "630-953-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST",
            "address_2": "SUITE 205",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484977",
            "telephone_number": "630-953-8088",
            "fax_number": "630-953-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.