Active NPI
Vasilios Zerris, MD
- Neurological Surgery Physician
- Urbana, IL
National Provider Identifier
1316977333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 036115913
- Practice address
- 602 W University Ave
Urbana, IL 61801-2530 - Phone
- (217) 337-4111
- Fax
- (217) 337-4119
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 036115913 | IL | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | M6474 | TX | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | M6474 | TX |
Addresses
Primary practice location
602 W University Ave
Urbana, IL 61801-2530
Mailing address
2401 S 31St St
Temple, TX 76508-0001
Phone (512) 897-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036115913 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036115913 | IL | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1316977333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080001",
"telephone_number": "512-897-7000",
"fax_number": "512-897-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 W UNIVERSITY AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618012530",
"telephone_number": "217-337-4111",
"fax_number": "217-337-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERRIS",
"first_name": "VASILIOS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "036115913",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "M6474",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "M6474",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036115913",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.