Individual provider Active NPI

Vincent J Zata, MD

  • Diagnostic Radiology Physician
  • Springfield, IL
National Provider Identifier
1184820334
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-126122 Issued in IL
Practice address
800 E Carpenter St
Springfield, IL 62769-7301
Phone
(217) 544-6464
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036-126122 IL Primary

Addresses

Primary practice location

800 E Carpenter St
Springfield, IL 62769-7301

Mailing address

111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272

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
I20100728000690 IL Practitioner - Diagnostic Radiology 0547310245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
St. Louis College of Physicians and Surgeons, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Illinois Radiological Associates LTDGroup PAC ID 9436061827, 205 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

1215 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 324-2191

12866 Troxler Ave
Highland, IL 62249-2806
Phone (309) 740-4272

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (309) 740-4272

200 Health Care Dr
Greenville, IL 62246-1154
Phone (309) 740-4272

200 S Cedar St
Shelbyville, IL 62565-1838
Phone (217) 774-3961

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-5522

503 N Maple St
Effingham, IL 62401-2006
Phone (217) 342-2121

5200 Reliable Pkwy
Chicago, IL 60686-0052

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 740-4272

530 Neglen Oak Ave
Peoria, IL 61636-0001
Phone (309) 655-2000

9515 Holy Cross LN
Breese, IL 62230-3618
Phone (309) 740-4272

Hospital & facility affiliations

  • St Johns Hospital Hospital, Springfield, IL, CCN 140053
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • St Marys Hospital Hospital, Decatur, IL, CCN 140166
  • St Francis Hospital Hospital, Litchfield, IL, CCN 141350
  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-126122ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Dec 6, 2025 Accepting new patients
Maryville Imaging, LLC CurrentSince Dec 24, 2025 Accepting new patients
Maryville Imaging, LLC CurrentSince Dec 24, 2025 Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients

Locations

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

530neglen Oak Ave
Peoria, IL 61636
Phone (309) 685-1054

114 W Stratford Dr
Ste E
Peoria, IL 61614
Phone (309) 740-4270

111 Oakwood Rd
Peoria, IL 61611
Phone (586) 412-4144

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

Organizations & group practices 4

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 6

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1184820334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OAKWOOD RD",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111853",
            "telephone_number": "309-740-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627697301",
            "telephone_number": "217-544-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATA",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-126122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.