NPIMap

Individual provider Active NPI

Zafer Jawich, M.D.

  • Internal Medicine Physician
  • New Lenox, IL
National Provider Identifier
1326064536
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036092398 Issued in IL
Practice address
1890 Silver Cross Blvd Ste 350
New Lenox, IL 60451-9603
Phone
(815) 717-8737
Fax
(815) 717-8699
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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 036092398 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd Ste 350
New Lenox, IL 60451-9603

Mailing address

1890 Silver Cross Blvd Ste 350
New Lenox, IL 60451-9603
Phone (815) 717-8737

Other identifiers 1

IdentifierTypeStateIssuer
036092398MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727001028 IL Practitioner - Internal Medicine 6406836105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Service Systems, IncGroup PAC ID 2264408699, 63 clinicians

Practice addresses (Care Compare)

1890 Silver Cross Blvd
Suite 265
New Lenox, IL 60451-9623
Phone (815) 727-4292

Hospital & facility affiliations

  • Silver Cross Home Health Home health agency, New Lenox, IL, CCN 147452
  • Newsome Home Health Care & Purpose Care of Illinois - Joliet Home health agency, Joliet, IL, CCN 148208
  • Apex Hospice and Palliative Care, Inc Hospice, Westmont, IL, CCN 141645
  • Lightways Hospice and Serious Illness Care Hospice, Joliet, IL, CCN 141539
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
  • The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088
  • Lemont Nursing & Rehab Center Nursing home, Lemont, IL, CCN 145901

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zafer Jawich MD SC Current Accepting new patients
Health Service Systems, Inc Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Health Service Systems, Inc CurrentSince Apr 1, 2022 Accepting new patients

Locations

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

1890 Silver Cross Blvd
Ste 350
New Lenox, IL 60451
Phone (815) 717-8735

1890 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-2802

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lemont Nursing and Rehabilitation Center LLCLemont, IL, CCN 145901 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2016
Aug 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 10

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1326064536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 350",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519603",
            "telephone_number": "815-717-8737",
            "fax_number": "815-717-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 350",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519603",
            "telephone_number": "815-717-8737",
            "fax_number": "815-717-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWICH",
        "first_name": "ZAFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036092398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092398",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.