Individual provider Active NPI

Zane Elgogari

  • Physician Assistant
  • Summit, IL
National Provider Identifier
1376359760
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1228476
Practice address
7450 W 63Rd St
Summit, IL 60501-1816
Phone
(708) 458-0757
Fax
(708) 458-3784
NPI assigned
Dec 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1228476 Primary

Addresses

Primary practice location

7450 W 63Rd St
Summit, IL 60501-1816

Mailing address

7450 W 63Rd St
Summit, IL 60501-1816
Phone (708) 458-0757

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602001321 IL Practitioner - Physician Assistant 9638688617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health Network 182 clinicians

Practice addresses (Care Compare)

7450 W 63Rd St
Des Plaines Valley Family Health Center
Summit, IL 60501-1816
Phone (708) 458-0757

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Apr 3, 2025 Accepting new patients
Access Community Health Network CurrentSince Apr 3, 2025 Accepting new patients

Locations

600 W Fulton St
Ste 300
Chicago, IL 60661

7450 W 63rd St
Summit Argo, IL 60501
Phone (708) 458-0757

Interoperability endpoints

  • Direct secure messaging: zelgogary27106@direct.achn.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1376359760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 W 63RD ST",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011816",
            "telephone_number": "708-458-0757",
            "fax_number": "708-458-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 W 63RD ST",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011816",
            "telephone_number": "708-458-0757",
            "fax_number": "708-458-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGOGARI",
        "first_name": "ZANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1228476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, IL

Sources for this page

Verify at the official NPI Registry.