Individual provider Active NPI

Zofia Cygan, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lisle, IL
National Provider Identifier
1275627614
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
036074324 Issued in IL
Practice address
5980 Route 53
Suite B
Lisle, IL 60532-3199
Phone
(630) 355-6040
Fax
(630) 968-7716
NPI assigned
Oct 2, 2006
Last updated
Nov 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 036074324 IL Primary

Addresses

Primary practice location

5980 Route 53
Suite B
Lisle, IL 60532-3199

Mailing address

5980 Route 53
Suite B
Lisle, IL 60532-3199
Phone (630) 355-6040

Other identifiers 1

IdentifierTypeStateIssuer
3644117376054001MedicaidIL

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
I20100513000920 IL Practitioner - Family Practice 0941338834

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036074324ILMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zofia Cygan M.D.SC Geriatric Medicine CurrentSince Oct 1, 1999 Accepting new patients

Locations

5980 Route 53
Ste B
Lisle, IL 60532
Phone (630) 355-6040

640 S Washington St
Ste 212
Naperville, IL 60540
Phone (331) 209-0287

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1275627614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 ROUTE 53",
            "address_2": "SUITE B",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323199",
            "telephone_number": "630-355-6040",
            "fax_number": "630-968-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 ROUTE 53",
            "address_2": "SUITE B",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323199",
            "telephone_number": "630-355-6040",
            "fax_number": "630-968-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYGAN",
        "first_name": "ZOFIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036074324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3644117376054001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.