Tetiana Zubrycky, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.122970 Issued in IL

Practice address

2233 W Division St. Hospitalist Office-Room 111W
St. Mary and Elizabeth Medical Center
Chicago, IL 60622

Phone

(312) 770-2128

Fax

(773) 728-5134

NPI assigned

May 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Three Oaks Hospice Hospice, Naperville, IL, CCN 141628
• Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Prime Healthcare Illinois Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1023837689

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Chicago Physician Services, P.C.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1538921424
  Medicare reassignment NPD
• Presence Healthcare Services

  dba Presence Medical Group

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1093780181
  NPD (past)
• West Suburban Emergency Services, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Oak Park, IL
  • NPI 1447446976
  NPD (past)

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

• Peace Hospice and Palliative Care Inc

  dba Three Oaks Hospice

  • Community Based Hospice Care Agency
  • Naperville, IL
  • NPI 1588757876
  Care Compare affiliation
• Saint Mary of Nazareth Hospital - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1265270607
  Care Compare affiliation

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

{
    "created_epoch": "1241222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1093949240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST. HOSPITALIST OFFICE-ROOM 111W",
            "address_2": "ST. MARY AND ELIZABETH MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "312-770-2128",
            "fax_number": "773-728-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST. HOSPITALIST OFFICE-ROOM 111W",
            "address_2": "ST. MARY AND ELIZABETH MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "312-770-2128",
            "fax_number": "773-728-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBRYCKY",
        "first_name": "TETIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-02",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.122970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tzubrycky29175@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2233 W Division St. Hospitalist Office-Room 111W",
            "address_2": "St. Mary and Elizabeth Medical Center",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Turfa Zubedi, DMD
• Alexandra Zubenko, MD
• Afsheen Zuberi
• Sana Yousuf Zuberi, M.D
• Teona Zubiashvili, M.D.
• Patricia Daniella Zuccaro, M.D.
• Joseph Francis Zucchero, DDS MS
• Elisa Zucchetti, MD
• Paulina Karolina Zuchowska, PHARMD
• Alana Zucker

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.