THEODORE MAZZONE
NPI 1962515403
Internal Medicine - Endocrinology, Diabetes & Metabolism in Skokie, IL

Q: What is Theodore Mazzone's NPI number?

The NPI number for Theodore Mazzone is 1962515403. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Theodore Mazzone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Mazzone was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 17, 2006PECOS Enrolled

9977 WOODS DR STE 300, SKOKIE, IL 60077(847) 663-5840 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theodore Mazzone NPPES

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

THEODORE MAZZONE (NPI 1962515403) is an individual endocrinology, diabetes & metabolism provider in Skokie, Illinois, licensed in Illinois (036066566) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962515403

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameTHEODORE MAZZONE

Location Address9977 WOODS DR STE 300Skokie, IL 60077-1057

Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040

Phone(847) 663-5840

Sole ProprietorNo

Enumeration DateAugust 17, 2006

Last NPPES UpdateFebruary 18, 2021

NPPES CertifiedFebruary 18, 2021

✔ NPI 1962515403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in IL · 036066566

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

9977 WOODS DR STE 300, Skokie, IL 60077

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore Mazzone is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60077 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

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 15

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

DR. KRISTINA IVANOVA TODOROVA-KOTEVA MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)