DR. CLARK A. ZEDDIES M.D.
NPI 1083614432
Family Medicine in South Elgin, IL
About Dr. Clark A. Zeddies M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CLARK A. ZEDDIES M.D. (NPI 1083614432) is an individual family medicine provider in South Elgin, Illinois, licensed in Illinois (036077324) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Clark A. Zeddies M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Clark Zeddies reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 1,664 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60177 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Clark Zeddies's NPI number?
The NPI number for Clark Zeddies is 1083614432. It was assigned to this individual provider in the NPPES registry on July 28, 2005.
Where is Clark Zeddies located?
Clark Zeddies practices at 455 Briargate Dr Ste 100, South Elgin, IL 60177. The listed phone number is (847) 622-0506.
What is Clark Zeddies's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clark Zeddies enrolled in Medicare?
Yes. Clark Zeddies is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Clark Zeddies's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clark Zeddies reassigns Medicare benefits to Central Dupage Physician Group (Carol Stream, IL). The 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 Clark Zeddies's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clark Zeddies was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.