Individual provider Active NPI

Carlos H Zambrano, MD

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1639139272
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036098517 Issued in IL
Practice address
2434 W Division St
Chicago, IL 60622-2942
Phone
(773) 486-8820
Fax
(773) 486-8823
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036098517 IL Primary

Addresses

Primary practice location

2434 W Division St
Chicago, IL 60622-2942

Mailing address

PO Box 8088
Wilmette, IL 60091-8088
Phone (773) 486-8820

Other identifiers 2

IdentifierTypeStateIssuer
036098517MedicaidIL
01636111OtherILBLUE CROSS BLUE SHIELD

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
I20060329000285 IL Practitioner - Infectious DiseasePractitioner - Internal Medicine 7416965751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1431 N Claremoint Ave
Chicago, IL 60622-1702
Phone (773) 278-2000

2544 W Montrose Ave
Chicago, IL 60618-1537
Phone (773) 267-2622

3435 W Van Buren St
Chicago, IL 60624-3312
Phone (773) 826-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036098517ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos H Zambrano MD LLC Infectious Disease CurrentSince Apr 17, 2006 Accepting new patients
CMC Healthcare LLC PastSince Mar 1, 2023 Accepting new patients

Locations

2434 W Division St
Chicago, IL 60622
Phone (773) 486-8820

1431 N Claremont Ave
Chicago, IL 60622
Phone (312) 491-5498

Interoperability endpoints

  • Direct secure messaging: carloshzambranomdllc.carloszambrano@118308.advancedmd-direct.com

Organizations & group practices 2

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 4

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1639139272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8088",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600918088",
            "telephone_number": "773-486-8820",
            "fax_number": "773-486-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222942",
            "telephone_number": "773-486-8820",
            "fax_number": "773-486-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANO",
        "first_name": "CARLOS",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036098517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098517",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01636111",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.