ZETA VISITING PHYSICIAN LLC
NPI 1043042484
General Practice in Batavia, IL

Active since August 15, 2024
2405 BIG WOODS DR, BATAVIA, IL 60510(847) 508-9999(224) 526-5167 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Zeta Visiting Physician Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZETA VISITING PHYSICIAN LLC (NPI 1043042484) is a healthcare organization registered as a general practice in Batavia, Illinois and active in the NPI registry since August 2024. The organization lists Carlo Domingo, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1043042484
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameZETA VISITING PHYSICIAN LLC
Location Address2405 BIG WOODS DRBatavia, IL 60510-7650
Mailing Address2405 Big Woods DrBatavia, IL 60510-7650 · (847) 508-9999 · Fax (224) 526-5167
Fax(224) 526-5167
Organization SubpartNo
Authorized OfficialCarlo DomingoManaging Partner · (567) 224-0949
Enumeration DateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1043042484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2405 BIG WOODS DR, Batavia, IL 60510

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zeta Visiting Physician Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Zeta Visiting Physician LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1447077219
2405 BIG WOODS DR
Batavia, IL 60510
(630) 277-9651
✔ PECOSSame address
Nurse Practitioner
NPI 1235536350
6400 SHAFER CT STE 300
Rosemont, IL 60018
(847) 759-9449
✔ PECOS27 mi
Nurse Practitioner
NPI 1801216973
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS30 mi
Nurse Practitioner
NPI 1194251272
4 N DEER POINT DR STE 1002
Hainesville, IL 60030
(847) 946-0198
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1063910016
3803 SPRING ST
Mount Pleasant, WI 53405
(262) 687-4011
✔ PECOS✔ Accepts Medicare67 mi
Family Practice
NPI 1770587693
2405 BIG WOODS DR
Batavia, IL 60510
(630) 277-9651
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zeta Visiting Physician LLC's NPI number?

The NPI number for Zeta Visiting Physician LLC is 1043042484. It was assigned to this organization in the NPPES registry on August 15, 2024.

Where is Zeta Visiting Physician LLC located?

Zeta Visiting Physician LLC is located at 2405 Big Woods Dr, Batavia, IL 60510. The listed phone number is (847) 508-9999.

What is Zeta Visiting Physician LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Zeta Visiting Physician LLC enrolled in Medicare?

Yes. Zeta Visiting Physician LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Zeta Visiting Physician LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Zeta Visiting Physician LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Family Practice (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Zeta Visiting Physician LLC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.