ZARINA I MERCHANT M.D.
NPI 1154376572
Pediatrics in Chicago, IL

Q: What is Zarina Merchant's NPI number?

The NPI number for Zarina Merchant is 1154376572. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Zarina Merchant's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Zarina Merchant was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 24, 2006PECOS Enrolled

23.14/100

CMS Quality Rating

2655 W PETERSON AVE, CHICAGO, IL 60659(773) 271-8880(773) 271-7435 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Zarina I Merchant M.d. NPPES

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

ZARINA I MERCHANT M.D. (NPI 1154376572) is an individual pediatrics provider in Chicago, Illinois, licensed in Massachusetts (74869) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1154376572

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameZARINA I MERCHANTCredential: M.D.

Location Address2655 W PETERSON AVEChicago, IL 60659-4017

Mailing Address2551 W Peterson AveChicago, IL 60659-4019 · (773) 747-3900 · Fax (773) 754-4350

Phone(773) 271-8880

Fax(773) 271-7435

Sole ProprietorNo

Medical School CMSOtherGraduated 1976

Enumeration DateMay 24, 2006

Last NPPES UpdateJune 3, 2014

✔ NPI 1154376572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MA · 74869

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2655 W PETERSON AVE, Chicago, IL 60659

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Other Identifiers 1

Medicare PIN367830

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zarina I Merchant M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052392081

PECOS Enrollment IDI20040526000781

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

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.

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

545 services132 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

484 services134 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

264 services94 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

60 services58 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

43 services43 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

32 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60659 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

23.14/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

77.15

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VUKOSAVA MANDIC MS, OTR/L

Occupational Therapist

2655 W PETERSON AVE
CHICAGO, IL 60659

Cook County (773) 942-6528

TENDER LOVING HOME HEALTHCARE

Registered Nurse (Community Health)

2655 W PETERSON AVE
CHICAGO, IL 60659

Cook County (312) 818-0610

CARLA MAE HAVERLAND PT

Physical Therapist

2655 W PETERSON AVE
CHICAGO, IL 60659

Cook County (773) 942-6528

ENGRAM

Physical Therapist

2655 W PETERSON AVE
CHICAGO, IL 60659

Cook County (630) 729-4344

DR. RORY ALAN WEISS D.D.S.

Dentist (General Practice)

2655 W PETERSON AVE, K
CHICAGO, IL 60659

Cook County (773) 769-0348

DAVID JOHN GUZMAN NULUD PTA

Physical Therapy Assistant

2655 W PETERSON AVE
CHICAGO, IL 60659

Cook County (773) 942-6528

DR. JERRY BROOKS D.D.S.

Dentist (General Practice)

2655 W PETERSON AVE
CHICAGO, IL 60659

Cook County (773) 769-3334

ACCESS COMMUNITY HEALTH NETWORK

Clinic/Center (Federally Qualified Health Center (FQHC))

2655 W PETERSON AVE
CHICAGO, IL 60659

Cook County (773) 271-8880

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 Zarina Merchant's NPI number?

The NPI number for Zarina Merchant is 1154376572. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Zarina Merchant located?

Zarina Merchant practices at 2655 W Peterson Ave, Chicago, IL 60659. The listed phone number is (773) 271-8880.

What is Zarina Merchant's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Zarina Merchant enrolled in Medicare?

Yes. Zarina Merchant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zarina Merchant was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.