Individual provider Active NPI

Theodore Francis Zbiegien Jr., MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1245227693
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036087594 Issued in IL
Practice address
7447 W Talcott Ave
204
Chicago, IL 60631-3745
Phone
(773) 467-8950
Fax
(773) 467-8949
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036087594 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave
204
Chicago, IL 60631-3745

Mailing address

7447 W Talcott Ave
204
Chicago, IL 60631-3745
Phone (773) 467-8950

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
I20060117001018 IL Practitioner - Family Practice 8628092616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tobia Barbato MD and Theodore Zbiegien MD SCGroup PAC ID 0840390555, 2 clinicians

Practice addresses (Care Compare)

7447 W Talcott Ave
Suite 204
Chicago, IL 60631-3713
Phone (773) 467-8950

Hospital & facility affiliations

  • Admire Home Healthcare Agency, Inc Home health agency, Skokie, IL, CCN 147818
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tobia Barbato M.D. and Theodore Zbiegien M.D. S.C. Family Medicine CurrentSince Oct 1, 2000 Accepting new patients
Gottlieb Community Health Services Corporation Past Accepting new patients

Locations

7447 W Talcott Ave
Ste 204
Chicago, IL 60631
Phone (773) 467-3950

Interoperability endpoints

  • Direct secure messaging: theodore.zbiegien.1@22058.direct.athenahealth.com

Organizations & group practices 2

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 4

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1245227693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-467-8950",
            "fax_number": "773-467-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-467-8950",
            "fax_number": "773-467-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZBIEGIEN",
        "first_name": "THEODORE",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036087594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.