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ANTHONY MICHAEL ZUNICA MD
NPI 1578022570
Pediatrics in St. Louis, MO

Active since March 19, 2019PECOS Enrolled
1465 S. GRAND BLVD., ST. LOUIS, MO 63104(314) 268-4070(314) 268-4019 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2026, May 7, 2026, Dec 29, 2022 and 1 more (4 updates tracked since 2019).

About Anthony Michael Zunica Md NPPES

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

ANTHONY MICHAEL ZUNICA MD (NPI 1578022570) is an individual pediatrics provider in St. Louis, Missouri, licensed in Missouri (2022026343) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Lawn, and is a graduate of Saint Louis University School Of Medicine (2019).

NPPES Registry Identity

NPI1578022570
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANTHONY MICHAEL ZUNICACredential: MD
Location Address1465 S. GRAND BLVD.St. Louis, MO 63104
Mailing Address1465 S. Grand Blvd.St. Louis, MO 63104 · (314) 268-4070 · Fax (314) 268-4019
Phone(314) 268-4070
Fax(314) 268-4019
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1578022570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MO · 2022026343✔ Licensed in IL · 036.179853
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.
1465 S. GRAND BLVD., St. Louis, MO 63104
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Secondary Practice Location 1

Location 14440 W 95th StOak Lawn, IL 60453-2600 · Phone (708) 684-5580 · Fax (708) 684-4068

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Michael Zunica Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557695707
PECOS Enrollment IDI20260608003930
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.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Zunica reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocate Health And Hospitals Corp.
146 mi
General Acute Care Hospital
1304 FRANKLIN AVE
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1831420520 (309) 454-1400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 3

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

LUKE BRENNAN STEPHENS MD
Pediatrics
1465 S. GRAND BLVD.
ST. LOIUS, MO 63104
St. Louis City (314) 268-4070
CAROLINE ZHONG MD
Student in an Organized Health Care Education/Training Program
1465 S. GRAND BLVD.
ST. LOUIS, MO 63104
St. Louis City (314) 268-4070
DR. NABIHA NOMA AWAN MD
Pediatrics
1465 S. GRAND BLVD., ROOM 2717
ST. LOUIS, MO 63104
St. Louis City (314) 268-4070

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 Anthony Zunica's NPI number?

The NPI number for Anthony Zunica is 1578022570. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Anthony Zunica located?

Anthony Zunica practices at 1465 S. Grand Blvd., St. Louis, MO 63104. The listed phone number is (314) 268-4070.

What is Anthony Zunica's specialty?

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

Is Anthony Zunica enrolled in Medicare?

Yes. Anthony Zunica is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anthony Zunica's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Zunica reassigns Medicare benefits to Advocate Health And Hospitals Corp. (Normal, 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 Anthony Zunica's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Zunica accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Anthony Zunica 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.

When was this NPI record last updated?

The NPPES record for Anthony Zunica was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.