Zenaida L Vivar, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

036-057980 Issued in IL

Practice address

7808 W College Dr.
Ste 2W
Palos Heights, IL 60463

Phone

(708) 361-5110

Fax

(708) 361-5305

NPI assigned

Feb 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beth Ledvora MD SCGroup PAC ID 4587898754, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Beth Ledvora M.D. S.C.

  • Psychiatry Physician
  • Palos Heights, IL
  • NPI 1003256462
  Medicare reassignment Care Compare group NPD
• Metropolitan Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1841460391
  NPD (past)
• The McGrath Clinic

  • Psychiatric Hospital Unit
  • Orland Park, IL
  • NPI 1265585400
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1487780516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR.",
            "address_2": "STE 2W",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-361-5110",
            "fax_number": "708-361-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR.",
            "address_2": "STE 2W",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-361-5110",
            "fax_number": "708-361-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVAR",
        "first_name": "ZENAIDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-057980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K13222",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn E Vela, GNP
• Melissa Lyn Vickers, PT
• Victress, a Wellness Center for Women, Inc
• Piper Virva
• Vitality Health and Wellness
• Pierre T.H. Vo, M.D.
• Victoria Marie Vorderer, DDS
• Kurt J Wagner, M.D.
• Lauren Wagner, LSW
• Marium Wahid

• Specialist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.

Verify at the official NPI Registry.