Active NPI
Nicholas Robert Zessis, MD
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1558750430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036.148502
- Practice address
- 225 East Chicago Avenue
Box #152
Chicago, IL 60611-2605 - Phone
- (312) 227-0078
- Fax
- (312) 227-9525
- NPI assigned
- Jan 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.148502 | IL | Primary |
| Pediatrics Physician | 208000000X | 2016020251 | MO |
Addresses
Primary practice location
225 East Chicago Avenue
Box #152
Chicago, IL 60611-2605
Mailing address
225 East Chicago Avenue
Box #152
Chicago, IL 60611-2605
Phone (312) 227-0078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.148502 | IL | MD | Pediatrics Physician |
| 2016020251 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Children's Medical Group Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1558750430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 EAST CHICAGO AVENUE",
"address_2": "BOX #152",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112605",
"telephone_number": "312-227-0078",
"fax_number": "312-227-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 EAST CHICAGO AVENUE",
"address_2": "BOX #152",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112605",
"telephone_number": "312-227-0078",
"fax_number": "312-227-9525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZESSIS",
"first_name": "NICHOLAS",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-15",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.148502",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2016020251",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.