Individual provider Active NPI

Margaret M Garstka

  • Medical Physician Assistant
  • Palos Park, IL
National Provider Identifier
1124391073
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085000970
Practice address
11900 Southwest Hwy
Palos Park, IL 60464-1200
Phone
(708) 274-4900
Fax
(708) 274-4949
NPI assigned
Feb 22, 2012
Last updated
Jul 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085000970 Primary

Addresses

Primary practice location

11900 Southwest Hwy
Palos Park, IL 60464-1200

Mailing address

700 E Ogden Ave
Suite 304
Westmont, IL 60559-1398
Phone (866) 871-5737

Other names 1

  • Margaret M Zolmierski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120313000051 IL Practitioner - Physician Assistant 5991964850 Reassigns benefits to 1 organization
I20210826002108 WI Practitioner - Physician Assistant 5991964850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13950 W Capitol Dr
Brookfield, WI 53005-2441
Phone (414) 302-5400

3803 Spring St
Mount Pleasant, WI 53405-1660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5507WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Consultants, SC PastSince Sep 1, 2004 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1124391073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE",
            "address_2": "SUITE 304",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591398",
            "telephone_number": "866-871-5737",
            "fax_number": "630-522-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 SOUTHWEST HWY",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641200",
            "telephone_number": "708-274-4900",
            "fax_number": "708-274-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARSTKA",
        "first_name": "MARGARET",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "085000970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "ZOLMIERSKI",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palos Park, IL

Sources for this page

Verify at the official NPI Registry.