Active NPI
Mark Zumhagen, M.D.
- Family Medicine Physician
- Rolling Meadows, IL
National Provider Identifier
1861506073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-073343
- Practice address
- 2000 Golf Rd
Rolling Meadows, IL 60008-4216 - Phone
- (847) 981-1881
- Fax
- (847) 981-0411
- NPI assigned
- Aug 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-073343 | IL | Primary |
Addresses
Primary practice location
2000 Golf Rd
Rolling Meadows, IL 60008-4216
Mailing address
10760W 143Rd St 67
Orland Park, IL 60462-1916
Phone (708) 403-7070
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151102001180 | IL | Order and Referring Only - Family Practice | 5496065591 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-073343 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1861506073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10760W 143RD ST 67",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604621916",
"telephone_number": "708-403-7070",
"fax_number": "708-403-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 GOLF RD",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600084216",
"telephone_number": "847-981-1881",
"fax_number": "847-981-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUMHAGEN",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-073343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolling Meadows, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.