Individual provider Active NPI

Jared K Zotz, M.D.

  • Obstetrics & Gynecology Physician
  • Bloomington, IL
National Provider Identifier
1093956815
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036.137023 Issued in IL
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

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150506002860 IL Practitioner - Obstetrics/Gynecology 6002135407 Reassigns benefits to 2 organizations

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
Midwest Center for Women's Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians
Heart of Illinois Obstetrics and Gynecology, S.C.Group PAC ID 7416126313, 6 clinicians

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

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.137023ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women's Health Care, LTD. Obstetrics & Gynecology CurrentSince Mar 20, 2026 Accepting new patients
Heart of Illinois Obstetrics and Gynecology, S.C. Obstetrics & Gynecology CurrentSince Jul 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.