Individual provider Active NPI

Malgorzata Szyfer, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1083662795
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036114297 Issued in IL
Practice address
3401 N. Central Ave
Chicago, IL 60634
Phone
(773) 777-2800
Fax
(773) 777-2801
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036114297 IL Primary

Addresses

Primary practice location

3401 N. Central Ave
Chicago, IL 60634

Mailing address

3401 N. Central Ave
Chicago, IL 60634
Phone (773) 777-2800

Other identifiers 1

IdentifierTypeStateIssuer
036114297MedicaidIL

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
I20051104000578 IL Practitioner - Family Practice 5193743409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5509 W Montrose Ave
Chicago, IL 60641-1331
Phone (773) 777-2800

Hospital & facility affiliations

  • Community First Medical Center Hospital, Chicago, IL, CCN 140251
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Malgorzata Szyfer M.D. LLC CurrentSince Feb 6, 2010 Accepting new patients
Gregory Bulava MD LTD PastSince Feb 6, 2010 Accepting new patients

Locations

3401 N Central Ave
Chicago, IL 60634
Phone (773) 286-8822

5509 W Montrose Ave
Chicago, IL 60641
Phone (773) 545-5444

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1083662795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N. CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-777-2800",
            "fax_number": "773-777-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N. CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-777-2800",
            "fax_number": "773-777-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYFER",
        "first_name": "MALGORZATA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036114297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114297",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.