Nancy Zomaya, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016.005444 Issued in IL

Practice address

6201 W Touhy Ave
Chicago, IL 60646

Phone

(847) 673-5166

NPI assigned

Jun 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Nancy Zomaya Shunneson Other name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baaltz Mobile Health Services IncGroup PAC ID 0244361459, 4 clinicians

Metropolitan Healthcare Partners PLLCGroup PAC ID 2466824149, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Swedish Hospital Hospital, Chicago, IL, CCN 140114

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baaltz Mobile Health Services Inc

  dba Walks

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1902131840
  Medicare reassignment Care Compare group NPD
• Metropolitan Healthcare Partners PLLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1366167264
  Medicare reassignment Care Compare group NPD
• Senior Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Skokie, IL
  • NPI 1780858647
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Swedish Covenant Health

  dba Endeavor Health Swedish Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1831151257
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1649407065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 CRESTFIELD AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483019",
            "telephone_number": "847-912-6141",
            "fax_number": "224-513-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "847-673-5166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5240 N Pulaski Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606301761",
            "country_code": "US",
            "telephone_number": "773-539-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "917 Crestfield Ave",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483019",
            "country_code": "US",
            "telephone_number": "847-912-6141",
            "fax_number": "224-513-4394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOMAYA",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005444",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "ZOMAYA SHUNNESON",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jocelyn Tauteris Zolna-Pitts, P.T.
• Amanda Zoloto
• Jennifer Zolper
• Katarina Zoltan, PSY.D.
• Samantha Zoltek-Skik, DMD
• Daniel Scott Zomchek, PH.D.
• Samantha Zonner
• Christopher Michael Zook, M.D.
• Zoom Lab Inc
• Rachel Zorger, DPM

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.