Active NPI
Maria P Zipp, M.D.
- Internal Medicine Physician
- Park Ridge, IL
National Provider Identifier
1588741805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036069111
- Practice address
- 111 S Washington Ave
Suite 102
Park Ridge, IL 60068-4203 - Phone
- (847) 825-3030
- Fax
- (847) 518-8098
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036069111 | IL | Primary |
Addresses
Primary practice location
111 S Washington Ave
Suite 102
Park Ridge, IL 60068-4203
Mailing address
111 S Washington Ave
Suite 102
Park Ridge, IL 60068-4203
Phone (847) 825-3030
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157871031904 | Other | IL | HUMANA |
| 0004074954 | Other | IL | AETNA |
| P507217-P507217A | Other | IL | OHI INC |
| PR22340710001 | Other | IL | CIGNA |
| 31602057 | Other | IL | BCBS PROVIDER# |
| IL9999 | Other | IL | MUTUAL OF OMAHA CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1588741805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S WASHINGTON AVE",
"address_2": "SUITE 102",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684203",
"telephone_number": "847-825-3030",
"fax_number": "847-518-8098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S WASHINGTON AVE",
"address_2": "SUITE 102",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684203",
"telephone_number": "847-825-3030",
"fax_number": "847-518-8098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIPP",
"first_name": "MARIA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036069111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "157871031904",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004074954",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHI INC",
"identifier": "P507217-P507217A",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PR22340710001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER#",
"identifier": "31602057",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MUTUAL OF OMAHA CO",
"identifier": "IL9999",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.