Individual provider Active NPI

Ninef Edward Zaya, MD

  • Otolaryngology Physician
  • Hinsdale, IL
National Provider Identifier
1962624031
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036-121292 Issued in IL
Practice address
11 Salt Creek LN Ste 101
Hinsdale, IL 60521-3032
Phone
(630) 789-3110
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036-121292 IL Primary

Addresses

Primary practice location

11 Salt Creek LN Ste 101
Hinsdale, IL 60521-3032

Mailing address

11 Salt Creek LN Ste 101
Hinsdale, IL 60521-3032
Phone (630) 789-3110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ninef.zaya.1@380.direct.athenahealth.com

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
I20081112000743 IL Practitioner - Otolaryngology 1759440217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

396 Remington Blvd
Bolingbrook, IL 60440-4311

396 Remington Blvd
Suite 380
Bolingbrook, IL 60440-4302
Phone (224) 273-4000

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-121292ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Mar 1, 2013 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners,Inc CurrentSince Jan 1, 2019 Accepting new patients
Adventist Health Partners, Inc CurrentSince Jan 1, 2019 Accepting new patients
Waukegan Clinic Corp CurrentSince Mar 1, 2013 Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

396 Remington Blvd
Ste 380
Bolingbrook, IL 60440
Phone (224) 273-4000

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

222 S Greenleaf St
Ste 109
Gurnee, IL 60031
Phone (847) 249-0167

11 Salt Creek Ln
Ste 101
Hinsdale, IL 60521
Phone (630) 789-3110

Interoperability endpoints

  • Direct secure messaging: ninef.zaya.1@380.direct.athenahealth.com
  • Direct secure messaging: nzaya1240576@adventhealth.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 5

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.

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1962624031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN STE 101",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213032",
            "telephone_number": "630-789-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN STE 101",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213032",
            "telephone_number": "630-789-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYA",
        "first_name": "NINEF",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-121292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ninef.zaya.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "11 Salt Creek Ln Ste 101",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.