Individual provider Active NPI

Diana T Zamojski, DO

  • Family Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1861424244
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036101342 Issued in IL
Practice address
4301 W 95TH Street
Oak Lawn, IL 60453-2670
Phone
(708) 425-5500
Fax
(708) 425-0771
NPI assigned
Jul 7, 2006
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036101342 IL Primary

Addresses

Primary practice location

4301 W 95TH Street
Oak Lawn, IL 60453-2670

Mailing address

4301 W 95TH Street
Oak Lawn, IL 60453-2670
Phone (708) 425-5500

Other identifiers 1

IdentifierTypeStateIssuer
036101342MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dzamojski276199@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20100121000283 IL Practitioner - Family Practice 0941205702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lawn Medical Center, S.C.Group PAC ID 4789689548, 11 clinicians

Practice addresses (Care Compare)

4301 W 95TH St
Oak Lawn, IL 60453-2670
Phone (708) 425-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036101342ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Oncologists, LLC CurrentSince Jan 3, 2012 Accepting new patients
Lawn Medical Center, S.C. Family Medicine CurrentSince Jul 10, 2000 Accepting new patients

Locations

4301 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-5500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1861424244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W 95TH STREET",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532670",
            "telephone_number": "708-425-5500",
            "fax_number": "708-425-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W 95TH STREET",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532670",
            "telephone_number": "708-425-5500",
            "fax_number": "708-425-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMOJSKI",
        "first_name": "DIANA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036101342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101342",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dzamojski276199@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4301 W 95th Street",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4301 W 95th Street",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.