Individual provider Active NPI

Alejandro Zamudio, M.D

  • Hospitalist Physician
  • Kalamazoo, MI
National Provider Identifier
1457713901
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036154056 Issued in IL
Practice address
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone
(269) 226-5074
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036154056 IL
Hospitalist Physician 208M00000X 036154056 IL Primary

Addresses

Primary practice location

1521 Gull Rd
Kalamazoo, MI 49048-1640

Mailing address

608 Dundee Ave
Elgin, IL 60120-3821
Phone (847) 289-0900

Other practice location 1

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-4325

Other practice location 2

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7471

Other practice location 3

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 231-8772

Other practice location 4

1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 355-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address azamudio247230@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200326000036 VI Practitioner - Pediatric Medicine 8426487414 Reassigns benefits to 1 organization
I20201102002066 IL Practitioner - HospitalistPractitioner - Pediatric Medicine 8426487414 Reassigns benefits to 3 organizations
I20250618002287 IL Practitioner - Pediatric Medicine 8426487414 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301501815MIMDPediatrics Physician
MD481005PAMDPediatrics Physician
35.143715OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Feb 9, 2020 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Franciscan Physician Network CurrentSince Jul 1, 2024 Accepting new patients
Pinnacle Health Medical Services Pediatrics Current Accepting new patients
Endeavor Health Medical Group Pediatrics CurrentSince Nov 8, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Pediatrics CurrentSince Jun 16, 2025 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 8, 2022 Accepting new patients
Franciscan Physician Network CurrentSince Jul 1, 2024 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Feb 9, 2020 Accepting new patients
Shriners Hospitals for Children Pediatrics CurrentSince Apr 15, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jun 16, 2025 Accepting new patients
Shriners Hospitals for Children CurrentSince Apr 15, 2024 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Nov 5, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Firelands Regional Medical Center Past Accepting new patients
The Board of Trustees of the University of Illinois Past Accepting new patients

Locations

1740 W Taylor St
Ste 1400
Chicago, IL 60612
Phone (312) 996-3900

9532 Eagle Way
Chicago, IL 60678

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

2211 N Oak Park Ave
Chicago, IL 60707
Phone (773) 385-5463

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

308 W Market St
Crawfordsvlle, IN 47933
Phone (765) 359-1660

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1457713901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DUNDEE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203821",
            "telephone_number": "847-289-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481640",
            "telephone_number": "269-226-5074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-238-4325",
            "fax_number": "217-348-4290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-7471",
            "fax_number": "973-926-6452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012010",
            "country_code": "US",
            "telephone_number": "717-231-8772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "312-355-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMUDIO",
        "first_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036154056",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036154056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "azamudio247230@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "111 S Front St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.