Active NPI
Sarah Joy Zielsdorf, M.D., M.S.
- Internal Medicine Physician
- Maywood, IL
National Provider Identifier
1679849871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- BF 4649604-A 971
- Practice address
- 2160 S 1St Ave RM 7609
Maywood, IL 60153-3328 - Phone
- (708) 216-8757
- Fax
- (708) 216-1259
- NPI assigned
- Apr 2, 2012
- Sex
- Female
- Sole proprietor
- No
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 | BF 4649604-A 971 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave RM 7609
Maywood, IL 60153-3328
Mailing address
1401 Lakewood Dr a
Morris, IL 60450-3352
Phone (815) 942-6323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 28, 2018 through Nov 28, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BF 4649604-A 971 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motivated Medicine, PLLC | Internal Medicine | Current | Accepting new patients |
| Larc | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- West Chicago, IL
- NPI 1104473263
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lansing, IL
- NPI 1245695733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1679849871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 LAKEWOOD DR A",
"city": "MORRIS",
"state": "IL",
"postal_code": "604503352",
"telephone_number": "815-942-6323",
"fax_number": "815-942-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE RM 7609",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-8757",
"fax_number": "708-216-1259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIELSDORF",
"first_name": "SARAH",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "BF 4649604-A 971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.