Individual provider Active NPI

Olga Zavelsky, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1386840395
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-118711 Issued in IL
Practice address
1501 S California Ave
Chicago, IL 60608-1732
Phone
(773) 257-6843
NPI assigned
Jun 26, 2007
Last updated
Sep 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-118711 IL Primary

Addresses

Primary practice location

1501 S California Ave
Chicago, IL 60608-1732

Mailing address

3537 Paysphere Cir
Chicago, IL 60674-0035
Phone (708) 786-2900

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000818 IL Practitioner - Emergency MedicinePractitioner - Ophthalmology 3173616935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-118711ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation Current Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 13, 2018 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 13, 2018 Accepting new patients
Mount Sinai Community Foundation Emergency Medicine CurrentSince Jun 15, 2018 Accepting new patients
Cep America - Illinois, LLP Emergency Medicine CurrentSince Sep 10, 2017 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Sep 10, 2017 Accepting new patients
Mea Chicago PC Emergency Medicine CurrentSince Nov 5, 2019 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

1501 S California Ave
Chicago, IL 60608
Phone (773) 257-6770

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

3537 Paysphere Cir
Chicago, IL 60674

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1386840395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740035",
            "telephone_number": "708-786-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081732",
            "telephone_number": "773-257-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVELSKY",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-118711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.