Individual provider Active NPI

Michal Pawel Zlowodzki, M.D.

  • Orthopaedic Trauma Physician
  • Loves Park, IL
National Provider Identifier
1467645390
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
036.141233 Issued in IL
Practice address
7402 E Riverside Blvd
Loves Park, IL 61111-5630
Phone
(815) 971-3920
Fax
(815) 226-9672
NPI assigned
Aug 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 01071909A IN
Orthopaedic Trauma Physician 207XX0801X 2011-01628 NC
Orthopaedic Trauma Physician 207XX0801X 036.141233 IL Primary

Addresses

Primary practice location

7402 E Riverside Blvd
Loves Park, IL 61111-5630

Mailing address

7402 E Riverside Blvd
Loves Park, IL 61111-5630
Phone (815) 971-3920

Other practice location 1

1010 Fairway Dr
Freeport, IL 61032-6600
Phone (815) 599-6000

Other practice location 2

2350 N Rockton Ave Fl 5
Rockford, IL 61103-3600
Phone (815) 971-7400

Other practice location 3

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

Other identifiers 1

IdentifierTypeStateIssuer
201120770MedicaidIN

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
I20160815001739 IL Practitioner - Orthopedic Surgery 3870767247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeport Regional Health Care FoundationGroup PAC ID 9234041682, 86 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

1010 Fairway Dr
Freeport, IL 61032-6600
Phone (815) 599-7421

2350 N Rockton Ave
Rockford, IL 61103-3600
Phone (815) 971-2000

Hospital & facility affiliations

  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
  • FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160
  • CGH Medical Center Hospital, Sterling, IL, CCN 140043
  • Mercy Walworth Hospital & Medical Center Hospital, Lake Geneva, WI, CCN 521357

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.141233ILMDOrthopaedic Trauma Physician
01071909AINMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeport Regional Health Care Foundation CurrentSince Nov 7, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Jul 15, 2016 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1010 Fairway Dr
Freeport, IL 61032
Phone (815) 599-6340

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

7402 E Riverside Blvd
Loves Park, IL 61111
Phone (815) 226-9642

2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200

2350 N Rockton Ave
Fl 5
Rockford, IL 61103
Phone (815) 971-7400

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

600 N Rush St
Stockton, IL 61085
Phone (815) 235-3165

Interoperability endpoints

  • Direct secure messaging: mzlowodzki45843@direct.mhemail.org
  • Direct secure messaging: michal.zlowodzki@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1467645390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 E RIVERSIDE BLVD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611115630",
            "telephone_number": "815-971-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 E RIVERSIDE BLVD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611115630",
            "telephone_number": "815-971-3920",
            "fax_number": "815-226-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610326600",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 N Rockton Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611033600",
            "country_code": "US",
            "telephone_number": "815-971-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324864",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZLOWODZKI",
        "first_name": "MICHAL",
        "middle_name": "PAWEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "IN",
            "license": "01071909A",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NC",
            "license": "2011-01628",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "IL",
            "license": "036.141233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201120770",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loves Park, IL

Sources for this page

Verify at the official NPI Registry.