Active NPI
John L Zabrowski, M.D.
- Diagnostic Radiology Physician
- Alton, IL
National Provider Identifier
1821058397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036073546
- Practice address
- 1 Saint Anthonys Way
Alton, IL 62002-4568 - Phone
- (618) 465-4520
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036073546 | IL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | R3F94 | MO |
Addresses
Primary practice location
1 Saint Anthonys Way
Alton, IL 62002-4568
Mailing address
PO Box 500730
Saint Louis, MO 63150-0730
Phone (303) 465-0401
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203596010 | Medicaid | MO | |
| 036073546-1 | Medicaid | IL | |
| 300026334 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036073546 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Testing Systems, Inc. | Past | Accepting new patients | |
| Radiologic Physicians LTD | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- jzabrows@yourcarecommunity.org
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.
-
- Diagnostic Radiology Physician
- Alton, IL
- NPI 1821189168
-
- Mammography Clinic/Center
- Florissant, MO
- NPI 1578677142
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": "1220313600000",
"number": "1821058397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500730",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631500730",
"telephone_number": "303-465-0401",
"fax_number": "303-404-2317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT ANTHONYS WAY",
"city": "ALTON",
"state": "IL",
"postal_code": "620024568",
"telephone_number": "618-465-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZABROWSKI",
"first_name": "JOHN",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2008-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036073546",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R3F94",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203596010",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036073546-1",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300026334",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.