Individual provider Active NPI

Penka K Zamfirova, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1275616914
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036115776 Issued in IL
Practice address
7035 W Grand Ave
Chicago, IL 60707-2143
Phone
(773) 385-8031
Fax
(773) 385-8035
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036115776 IL Primary

Addresses

Primary practice location

7035 W Grand Ave
Chicago, IL 60707-2143

Mailing address

7035 W Grand Ave
Chicago, IL 60707-2143
Phone (773) 385-8031

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
I20170613001862 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9234233370

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Empatia Care LTD SC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275616914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072143",
            "telephone_number": "773-385-8031",
            "fax_number": "773-385-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072143",
            "telephone_number": "773-385-8031",
            "fax_number": "773-385-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMFIROVA",
        "first_name": "PENKA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036115776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.