Individual provider Active NPI

Zarina I Merchant, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1154376572
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
74869 Issued in MA
Practice address
2655 W Peterson Ave
Chicago, IL 60659-4017
Phone
(773) 271-8880
Fax
(773) 271-7435
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 74869 MA Primary

Addresses

Primary practice location

2655 W Peterson Ave
Chicago, IL 60659-4017

Mailing address

2551 W Peterson Ave
Chicago, IL 60659-4019
Phone (773) 747-3900

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
I20040526000781 IL Practitioner - Family PracticePractitioner - Pediatric Medicine 1052392081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

228 E Lake St
Addison, IL 60101-2853

430 51St Ave
Bellwood, IL 60104-1754

4849 W Fullerton Ave
Chicago, IL 60639-2503

5352 N Lincoln Ave
Chicago, IL 60625-2316

5940 W Touhy Ave
Suite 195
Niles, IL 60714-4638

Hospital & facility affiliations

  • P W Home Health, Inc Home health agency, Oakbrook Ter, IL, CCN 147832

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74869MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Physicians Inc CurrentSince Jun 1, 2021 Accepting new patients
Home Physicians of Illinois LLC CurrentSince Aug 27, 2021 Accepting new patients
Northwest Health Care, LTD CurrentSince Oct 27, 2019 Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

5352 N Lincoln Ave
Chicago, IL 60625
Phone (773) 353-5047

4001 W Devon Ave
Ste 210
Chicago, IL 60646
Phone (773) 283-8488

2010 N Harlem Ave
Elmwood Park, IL 60707
Phone (708) 452-4443

5940 W Touhy Ave
Ste 195
Niles, IL 60714
Phone (312) 806-8102

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1154376572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594019",
            "telephone_number": "773-747-3900",
            "fax_number": "773-754-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594017",
            "telephone_number": "773-271-8880",
            "fax_number": "773-271-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "ZARINA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "74869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.