Individual provider Active NPI

Andrew Z. Zasada, M.D.

  • Hospitalist Physician
  • Mattoon, IL
National Provider Identifier
1679590269
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036-074571 Issued in IL
Practice address
1000 Health Center Drive
Mattoon, IL 61938
Phone
(217) 238-4325
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-074571 IL
Emergency Medicine Physician 207P00000X 183698-1 NY
Hospitalist Physician 208M00000X 036-074571 IL Primary

Addresses

Primary practice location

1000 Health Center Drive
Mattoon, IL 61938

Mailing address

1000 Health Center Drive
Mattoon, IL 61938
Phone (217) 238-4325

Other practice location 1

200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841

Other identifiers 2

IdentifierTypeStateIssuer
200121290MedicaidIL
036074571MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.zasada.1@15486.direct.athenahealth.com Direct

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
I20040120001019 IL Practitioner - Emergency MedicinePractitioner - Internal Medicine 4880508449 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iems Physician Services PLLCGroup PAC ID 2567802556, 64 clinicians

Practice addresses (Care Compare)

1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183698-1NYMDEmergency Medicine Physician
036-074571ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Statera Health Care, LLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Apr 1, 2019 Accepting new patients
Iems Physician Services PLLC Emergency Medicine CurrentSince Apr 20, 2024 Accepting new patients
Crossroads Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Illiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Kennekuk Emergency Physicians LLC Emergency Medicine PastSince Oct 1, 2023 Accepting new patients
Illiana Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1679590269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER DRIVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "61938",
            "telephone_number": "217-238-4325",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER DRIVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "61938",
            "telephone_number": "217-238-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZASADA",
        "first_name": "ANDREW",
        "middle_name": "Z.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-074571",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "183698-1",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036-074571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200121290",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074571",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.zasada.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.