Active NPI
Zane Elgogari
- Physician Assistant
- Summit, IL
National Provider Identifier
1376359760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Current | Accepting new patients | |
| Access Community Health Network | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
IL
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1275605792
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.