Individual provider Active NPI

Robert S Czepiel, MD

  • Family Medicine Physician
  • Naperville, IL
National Provider Identifier
1538156294
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036096075 Issued in IL
Practice address
2007 95TH St
Ste 105
Naperville, IL 60563-7802
Phone
(630) 646-6920
Fax
(630) 646-6925
NPI assigned
Sep 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036096075 IL Primary

Addresses

Primary practice location

2007 95TH St
Ste 105
Naperville, IL 60563-7802

Mailing address

2007 95TH St
Ste 105
Naperville, IL 60563-7802
Phone (630) 646-6920

Other identifiers 2

IdentifierTypeStateIssuer
036096075 2MedicaidIL
2222385OtherILBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rczepiel15322@direct.edward.org Direct

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
I20100521000296 IL Practitioner - Family Practice 7911036439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036096075ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Edward Health Ventures CurrentSince May 10, 1999 Accepting new patients
Edward Health Ventures CurrentSince May 10, 1999 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Dec 1, 2023 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

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

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

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

2007 95th St
Ste 105
Naperville, IL 60564
Phone (630) 646-6920

27555 Diehl Rd
Warrenville, IL 60555
Phone (630) 646-3950

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1538156294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 95TH ST",
            "address_2": "STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605637802",
            "telephone_number": "630-646-6920",
            "fax_number": "630-646-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 95TH ST",
            "address_2": "STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605637802",
            "telephone_number": "630-646-6920",
            "fax_number": "630-646-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZEPIEL",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036096075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096075 2",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2222385",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rczepiel15322@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2007 95th St",
            "address_2": "Ste 105",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605637802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.