Active NPI
Jared K Zotz, M.D.
- Obstetrics & Gynecology Physician
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036.137023
- Practice address
- 1505 Eastland Dr Ste 2200
Bloomington, IL 61701-7910 - Phone
- (309) 454-3456
- Fax
- (309) 454-6977
- NPI assigned
- Mar 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036.137023 | IL | Primary |
Addresses
Primary practice location
1505 Eastland Dr Ste 2200
Bloomington, IL 61701-7910
Mailing address
1505 Eastland Dr Ste 2200
Bloomington, IL 61701-7910
Phone (309) 454-3456
Other practice location 1
650 Joel Drive
Blanchfield Army Community Hospital
Fort Campbell, KY 42223-5349
Phone (270) 956-0359
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Ctr St
Suite 700
Evanston, IL 60020-1769
Phone (874) 896-3300
1505 Eastland Dr
Suite 2200
Bloomington, IL 61701-7910
Phone (309) 454-3456
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.137023 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Center for Women's Health Care, LTD. | Obstetrics & Gynecology | Current | Accepting new patients |
| Heart of Illinois Obstetrics and Gynecology, S.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1505 Eastland Dr
Ste 2200
Bloomington, IL 61701
Phone (309) 454-3456
1302 Franklin Ave
Ste 2800
Normal, IL 61761
Phone (309) 268-6300
Interoperability endpoints
- jared.zotzmd.p1@direct.hoiobgyn.nextgenshare.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Bloomington, IL
- NPI 1942592118
-
- Obstetrics & Gynecology Physician
- Bannockburn, IL
- NPI 1447200654
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1093956815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 EASTLAND DR STE 2200",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617017910",
"telephone_number": "309-454-3456",
"fax_number": "309-454-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 EASTLAND DR STE 2200",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617017910",
"telephone_number": "309-454-3456",
"fax_number": "309-454-6977"
}
],
"practiceLocations": [
{
"address_1": "650 Joel Drive",
"address_2": "Blanchfield Army Community Hospital",
"address_purpose": "LOCATION",
"city": "Fort Campbell",
"state": "KY",
"postal_code": "422235349",
"country_code": "US",
"telephone_number": "270-956-0359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZOTZ",
"first_name": "JARED",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-09",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036.137023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.