Individual provider Active NPI

Zain S Talukdar, MD

  • Pediatrics Physician
  • Bradley, IL
National Provider Identifier
1083302624
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036178817 Issued in IL
Practice address
400 S Kennedy Dr Ste 900
Bradley, IL 60915-2683
Phone
(815) 936-8963
Fax
(815) 937-7652
NPI assigned
May 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036178817 IL Primary
Pediatrics Physician 208000000X 125.081454 IL

Addresses

Primary practice location

400 S Kennedy Dr Ste 900
Bradley, IL 60915-2683

Mailing address

400 S Kennedy Dr Ste 900
Bradley, IL 60915-2683
Phone (815) 936-8963

Other practice location 1

5841 S Maryland Ave # Mc8016
Chicago, IL 60637-1443
Phone (773) 702-6435

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529003225 IL Practitioner - Pediatric Medicine 6709245624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Rochester School of Medicine and Dentistry, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 S Kennedy Dr
Suite 900
Bradley, IL 60915-2683

717 S Clark St
Unit 806
Chicago, IL 60605-1798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036178817ILMDPediatrics Physician
125.081454ILMDPediatrics Physician

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1083302624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S KENNEDY DR STE 900",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152683",
            "telephone_number": "815-936-8963",
            "fax_number": "815-937-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S KENNEDY DR STE 900",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152683",
            "telephone_number": "815-936-8963",
            "fax_number": "815-937-7652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave # Mc8016",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-702-6435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALUKDAR",
        "first_name": "ZAIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036178817",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125.081454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradley, IL

Sources for this page

Verify at the official NPI Registry.