Individual provider Active NPI

Cassia Victoria Zarzuela, M.D.

  • Pediatrics Physician
  • Oswego, IL
National Provider Identifier
1700012713
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036123389 Issued in IL
Practice address
4789 Route 71
Oswego, IL 60543-7415
Phone
(630) 898-5969
Fax
(630) 898-5837
NPI assigned
Jun 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036123389 IL Primary

Addresses

Primary practice location

4789 Route 71
Oswego, IL 60543-7415

Mailing address

4789 Route 71
Oswego, IL 60543-7415
Phone (630) 898-5969

Other practice location 1

7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 448-2438

Other practice location 2

4440 W 95th St Ste 2177H
Oak Lawn, IL 60453-2600
Phone (708) 684-5341

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address czarzuela282722@direct.myadvocateaurora.org 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
I20240102002177 IL Practitioner - Pediatric Medicine 1456701515 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036123389ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Nov 19, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 19, 2023 Accepting new patients
Rush University Medical Group Pediatrics Past Accepting new patients
Rush Copley Medical Group Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

75 Remittance Dr
Dept 1611
Chicago, IL 60675

29373 Network Pl
Chicago, IL 60673

4440 W 95th St
Ste 2177H
Oak Lawn, IL 60453
Phone (708) 684-5341

Interoperability endpoints

  • Direct secure messaging: czarzuela282722@direct.myadvocateaurora.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1700012713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4789 ROUTE 71",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437415",
            "telephone_number": "630-898-5969",
            "fax_number": "630-898-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4789 ROUTE 71",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437415",
            "telephone_number": "630-898-5969",
            "fax_number": "630-898-5837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 W College Dr",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631001",
            "country_code": "US",
            "telephone_number": "708-448-2438",
            "fax_number": "708-448-2482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4440 W 95th St Ste 2177H",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532600",
            "country_code": "US",
            "telephone_number": "708-684-5341",
            "fax_number": "708-684-4716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZARZUELA",
        "first_name": "CASSIA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036123389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4440 W 95th St Ste 2177H",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "czarzuela282722@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4440 W 95th St Ste 2177H",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.