Individual provider Active NPI

Mario A Zapata, MD

  • Gynecology Physician
  • Aurora, IL
National Provider Identifier
1568451920
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
036-062898 Issued in IL
Practice address
2424 W Indian TRL
Ste a
Aurora, IL 60506-1568
Phone
(630) 907-1414
Fax
(630) 907-1919
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 036-062898 IL Primary

Addresses

Primary practice location

2424 W Indian TRL
Ste a
Aurora, IL 60506-1568

Mailing address

2424 W Indian TRL
Ste a
Aurora, IL 60506-1568
Phone (630) 907-1414

Other identifiers 2

IdentifierTypeStateIssuer
036-062898MedicaidIL
0451514334OtherILBCBS#

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
I20041021000511 IL Practitioner - Obstetrics/Gynecology 6406817873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2424 W Indian TRL
Suite a
Aurora, IL 60506-1588
Phone (630) 882-0264

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-062898ILMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Women'S Health, LTD CurrentSince Aug 31, 1983 Accepting new patients

Locations

2424 W Indian Trl
Ste A
Aurora, IL 60506
Phone (630) 882-0264

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7615/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mario.zapata.1@7615.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1568451920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 W INDIAN TRL",
            "address_2": "STE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061568",
            "telephone_number": "630-907-1414",
            "fax_number": "630-907-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W INDIAN TRL",
            "address_2": "STE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061568",
            "telephone_number": "630-907-1414",
            "fax_number": "630-907-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPATA",
        "first_name": "MARIO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036-062898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-062898",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS#",
            "identifier": "0451514334",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.