Individual provider Active NPI

Eric C Zimmerman, MD, PHD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1871054817
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.163021 Issued in IL
Practice address
912 S Wood St Ste 739
Chicago, IL 60612-4300
Phone
(312) 413-1186
NPI assigned
Mar 30, 2019
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.163021 IL Primary

Addresses

Primary practice location

912 S Wood St Ste 739
Chicago, IL 60612-4300

Mailing address

1601 W Taylor St RM 559
Chicago, IL 60612-4310
Phone (312) 996-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231003002428 IL Practitioner - Psychiatry 2961738323 Reassigns benefits to 1 organization
I20250827002357 WV Practitioner - Psychiatry 2961738323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

930 Chestnut Ridge Rd
Morgantown, WV 26505-2854
Phone (304) 293-5299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.163021ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Aug 20, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 31, 2025 Accepting new patients
West Virginia University Medical Corporation Psychiatry CurrentSince Jul 31, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Psychiatry CurrentSince Aug 20, 2023 Accepting new patients

Locations

1740 W Taylor St
Ste 1400
Chicago, IL 60612
Phone (312) 996-3900

7825 Solution Ctr
Chicago, IL 60677

912 S Wood St
Chicago, IL 60612
Phone (312) 996-2200

912 S Wood St
Ste 739
Chicago, IL 60612
Phone (312) 413-1186

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

6 Canyon Rd
#105
Morgantown, WV 26508
Phone (304) 598-4433

930 Chestnut Ridge Rd
Morgantown, WV 26505
Phone (304) 293-5299

Organizations & group practices 4

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 2

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": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1871054817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W TAYLOR ST RM 559",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124310",
            "telephone_number": "312-996-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S WOOD ST STE 739",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124300",
            "telephone_number": "312-413-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ERIC",
        "middle_name": "C",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-30",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.163021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.