MARIO A ZAPATA MD
NPI 1568451920
Obstetrics & Gynecology - Gynecology in Aurora, IL
About Mario A Zapata Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIO A ZAPATA MD (NPI 1568451920) is an individual gynecology provider in Aurora, Illinois, licensed in Illinois (036-062898) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Presence Mercy Medical Center, and is a graduate of Other (1977).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mario A Zapata Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mario Zapata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aurora, IL 60506
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Associated Womens Health Ltd
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presence Mercy Medical Center
Acute Care Hospitals · Aurora, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 6
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 Mario Zapata's NPI number?
The NPI number for Mario Zapata is 1568451920. It was assigned to this individual provider in the NPPES registry on October 18, 2005.
Where is Mario Zapata located?
Mario Zapata practices at 2424 W Indian Trl Ste A, Aurora, IL 60506. The listed phone number is (630) 907-1414.
What is Mario Zapata's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Mario Zapata enrolled in Medicare?
Yes. Mario Zapata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mario Zapata's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mario Zapata reassigns Medicare benefits to Associated Women's Health, Ltd (Aurora, 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 Mario Zapata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mario Zapata accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Mario Zapata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mario Zapata affiliated with any hospitals?
According to CMS data, Mario Zapata is affiliated with Presence Mercy Medical Center.
When was this NPI record last updated?
The NPPES record for Mario Zapata was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mario A Zapata, MD · NPI 1568451920
Gynecology physician in Aurora, Illinois. Individual provider, active in the CMS NPPES registry since October 18, 2005.
## Identity
- **NPI:** 1568451920 (Entity type: Individual)
- **Enumerated:** October 18, 2005
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **State license:** 036-062898 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2424 W INDIAN TRL, STE A, Aurora, IL 60506-1568
- **Phone:** (630) 907-1414 · **Fax:** (630) 907-1919
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Associated Women's Health, Ltd (NPI 1346360971, Aurora, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1977
## Record status
- **NPPES last updated:** March 2, 2011
- **Other identifiers:** Other 0451514334 (IL); Medicare ID-Type Unspecified K11213 (IL); Medicare NSC 0727500001 (IL); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1568451920) · Data from the CMS NPPES public registry.