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ZERUYA GADDAM APRN
NPI 1578304366
Nurse Practitioner - Family in South Holland, IL

Active since June 04, 2024PECOS EnrolledAccepts Medicare Assignment
430 E 162ND ST # 487, SOUTH HOLLAND, IL 60473(708) 960-4280(708) 816-0023 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2025, Jan 3, 2025, Nov 13, 2024 and 1 more (4 updates tracked since 2024).

About Zeruya Gaddam Aprn NPPES

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

ZERUYA GADDAM APRN (NPI 1578304366) is an individual family provider in South Holland, Illinois, licensed in Illinois (209028493) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1578304366
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameZERUYA GADDAMCredential: APRN
Location Address430 E 162ND ST # 487South Holland, IL 60473-2258
Mailing Address430 E 162nd St # 487South Holland, IL 60473-2258 · (708) 960-4280 · Fax (708) 816-0023
Phone(708) 960-4280
Fax(708) 816-0023
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 4, 2024
Last NPPES UpdateJanuary 9, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1578304366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209028493
430 E 162ND ST # 487, South Holland, IL 60473
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zeruya Gaddam Aprn 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.

PECOS PAC ID6507391679
PECOS Enrollment IDI20241126002584
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60473 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.

Other Providers at the Same Location NPPES

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

DIPEEKA PATEL N.P.,
Nurse Practitioner (Adult Health)
430 E 162ND ST # 487
SOUTH HOLLAND, IL 60473
Cook County (708) 880-0559

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 Zeruya Gaddam's NPI number?

The NPI number for Zeruya Gaddam is 1578304366. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Zeruya Gaddam located?

Zeruya Gaddam practices at 430 E 162nd St # 487, South Holland, IL 60473. The listed phone number is (708) 960-4280.

What is Zeruya Gaddam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Zeruya Gaddam enrolled in Medicare?

Yes. Zeruya Gaddam 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.

Is Zeruya Gaddam affiliated with any hospitals?

According to CMS data, Zeruya Gaddam is affiliated with Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Zeruya Gaddam was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.