Individual provider Active NPI

Brian Zator, D.O.

  • Family Medicine Physician
  • Bartlett, IL
National Provider Identifier
1972881670
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036126900 Issued in IL
Practice address
1124 W Stearns Rd
Bartlett, IL 60103-4546
Phone
(630) 213-7788
NPI assigned
Jul 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 036126900 IL Primary

Addresses

Primary practice location

1124 W Stearns Rd
Bartlett, IL 60103-4546

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bzator13402@direct.edward.org

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
I20110907001344 IL Practitioner - Family Practice 5991975666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

1124 W Stearns Rd
Bartlett, IL 60103-4546
Phone (630) 213-7788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036126900ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Nov 7, 2011 Accepting new patients
Dupage Medical Group LTD CurrentSince Nov 7, 2011 Accepting new patients

Locations

1124 W Stearns Rd
Bartlett, IL 60103
Phone (630) 213-7788

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1325 N Meacham Rd
Schaumburg, IL 60173
Phone (630) 790-1700

Interoperability endpoints

  • Direct secure messaging: bzator13402@dulyhealthandcare.direct-ci.com
  • Direct secure messaging: bzator13402@direct.edward.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1972881670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W STEARNS RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034546",
            "telephone_number": "630-213-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATOR",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036126900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bzator13402@direct.edward.org",
            "affiliation": "N",
            "address_1": "1124 W Stearns Rd",
            "city": "Bartlett",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601034546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

Verify at the official NPI Registry.