Individual provider Active NPI

Teresa A Zepka, PA-C

  • Physician Assistant
  • Orland Park, IL
National Provider Identifier
1346238466
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085010508 Issued in IL
Practice address
15300 West Ave Ste 210
Orland Park, IL 60462-4686
Phone
(708) 226-2870
Fax
(708) 226-2390
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA056282 PA
Physician Assistant 363A00000X 085010508 IL Primary

Addresses

Primary practice location

15300 West Ave Ste 210
Orland Park, IL 60462-4686

Mailing address

15300 West Ave Ste 210
Orland Park, IL 60462-4686
Phone (708) 226-2870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131107001280 PA Practitioner - Physician Assistant 0840425443 Reassigns benefits to 1 organization
I20240906002439 IL Practitioner - Physician Assistant 0840425443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1086 Franklin St
Johnstown, PA 15905-4305

1086 Franklin St E
Johnstown, PA 15905-4305
Phone (814) 534-9104

1086 Franklin St M
Johnstown, PA 15905-4305
Phone (814) 534-9194

1111 Franklin St
Johnstown, PA 15905-4341

12251 S 80TH Ave
Palos Heights, IL 60463-1290

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085010508ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Aug 26, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Physician Assistant CurrentSince Nov 1, 2015 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 1, 2015 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 26, 2024 Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

15300 West Ave
Ste 210
Orland Park, IL 60462
Phone (708) 226-2870

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

1015 Franklin St
Fl C
Johnstown, PA 15905
Phone (814) 534-1270

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 410
Johnstown, PA 15905
Phone (814) 536-7851

Interoperability endpoints

  • Direct secure messaging: tzepka9384@direct.conemaugh.org

Organizations & group practices 8

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1346238466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 210",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624686",
            "telephone_number": "708-226-2870",
            "fax_number": "708-226-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 210",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624686",
            "telephone_number": "708-226-2870",
            "fax_number": "708-226-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPKA",
        "first_name": "TERESA",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056282",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.