Active NPI
Mayer Zayan, M.D.
- Internal Medicine Physician
- Northbrook, IL
National Provider Identifier
1619064151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036060803
- Practice address
- 3605 Woodhead Dr Ste 111
Northbrook, IL 60062-1850 - Phone
- (800) 564-5270
- Fax
- (877) 432-7816
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- 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 | 036060803 | IL | Primary |
Addresses
Primary practice location
3605 Woodhead Dr Ste 111
Northbrook, IL 60062-1850
Mailing address
3605 Woodhead Dr Ste 111
Northbrook, IL 60062-1850
Phone (800) 564-5270
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036060803 | Medicaid | IL | |
| 1619064151 | Medicaid | IL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036060803 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lev Monitoring Solutions Inc | Current | Accepting new patients | |
| Homecare Docs LLC | Current | Accepting new patients | |
| Zayan Medical Corporation | Current | Accepting new patients | |
| Lev Diagnostics Inc | Current | Accepting new patients | |
| Health Direction Medical Center, S.C. | Internal Medicine | Past | Accepting new patients |
| Housecall Professionals Inc | Past | Accepting new patients | |
| Lake County Physical Therapy LLC | Past | Accepting new patients | |
| AMC Medical Center, LLC | Past | Accepting new patients |
Locations
3194 Doolittle Dr
Northbrook, IL 60062
Phone (847) 537-5555
3605 Woodhead Dr
Ste 111
Northbrook, IL 60062
Phone (800) 564-5270
1480 Renaissance Dr
Ste 414
Park Ridge, IL 60068
Phone (847) 813-6216
Organizations & group practices 8
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.
-
- Primary Care Clinic/Center
- Northbrook, IL
- NPI 1770036444
-
- Mobile Radiology Clinic/Center
- Northbrook, IL
- NPI 1588058150
-
- Mobile Radiology Clinic/Center
- Northbrook, IL
- NPI 1659211498
-
- Health Service Clinic/Center
- Des Plaines, IL
- NPI 1073632394
-
- General Practice Physician
- Park Ridge, IL
- NPI 1235594086
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1184032641
-
- Multi-Specialty Clinic/Center
- Skokie, IL
- NPI 1487175378
-
- Physical Therapist
- Mundelein, IL
- NPI 1851487581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1619064151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 WOODHEAD DR STE 111",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621850",
"telephone_number": "800-564-5270",
"fax_number": "877-432-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 WOODHEAD DR STE 111",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621850",
"telephone_number": "800-564-5270",
"fax_number": "877-432-7816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAYAN",
"first_name": "MAYER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036060803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036060803",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619064151",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.