Pedro Palu-Ay, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36047040 Issued in IL

Practice address

2606 Elisha Ave
Zion, IL 60099-2608

Phone

(847) 872-4558

Fax

(847) 872-9334

NPI assigned

Dec 28, 2005

Last updated

Feb 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

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.

• City of Hope Medical Group of Illinois PLLC

  • Specialist
  • Zion, IL
  • NPI 1548258072
  NPD (past)
• Pedro G. Palu-Ay M.D.S.C.

  • Specialist
  • Zion, IL
  • NPI 1174726467
  NPD (past)
• Waukegan Clinic Corp

  • Family Medicine Physician
  • Waukegan, IL
  • NPI 1306937289
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1942287230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 SHERIDAN RD",
            "address_2": "SUITE A",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992629",
            "telephone_number": "847-746-8260",
            "fax_number": "847-746-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 ELISHA AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992608",
            "telephone_number": "847-872-4558",
            "fax_number": "847-872-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALU-AY",
        "first_name": "PEDRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36047040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia M Nykiel, DNP, FNP-BC
• Williams K. Ojo, CSFA
• Irina V Onegova
• Diane Lee Ostebee, MACP LCPC
• Adam J Ottaviano
• Sharon Park, PHARMD
• Partners Dental P.C.
• Jessica H. Partyka, FNP-BC
• Jalpa M Patel, PA-C
• Mauliben Patel, P.A

• Family Medicine Physician in Zion, IL
• Providers in Zion, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.