SAM MARZO MD
NPI 1699752568
Otolaryngology - Otology & Neurotology in Maywood, IL
NPI Status: Active since December 30, 2005
Contact Information
2160 S 1ST AVE
MAGUIRE CENTER 1870
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-9183
Fax: (708) 216-4834
- Individual
- Male
- Otolaryngology
- Otology & Neurotology
- Accepts Insurance
- PECOS Enrolled
About SAM MARZO
This page provides the complete NPI Profile along with additional information for Sam Marzo, a provider established in Maywood, Illinois with a medical specialization in Otolaryngology, focusing in otology & neurotology . The healthcare provider is registered in the NPI registry with number 1699752568 assigned on December 2005. The practitioner's primary taxonomy code is 207YX0901X with license number 036-088744 (IL). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1699752568
- Provider Name
- SAM MARZO MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2160 S 1ST AVE MAGUIRE CENTER 1870 MAYWOOD, IL 60153
- Location Phone
- (708) 216-9183
- Location Fax
- (708) 216-4834
- Mailing Address
- 2160 S 1ST AVE MAGUIRE CENTER 1870 MAYWOOD, IL 60153
- Mailing Phone
- (708) 216-9183
- Mailing Fax
- (708) 216-4834
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-30-2005
- Last Update Date
- 06-17-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Otology & Neurotology
- Taxonomy Code
- 207YX0901X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-088744
- License State
- IL
- Taxonomy Description
- An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Diabetes (Choice) - HMO
- Silver Simple Diabetes (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 263532 | OTHER (01) | IL | MEDICARE |
| G52961 | MEDICARE UPIN (02) | ||
| L81114 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 36088744 | MEDICAID (05) | IL |
Medicare Participation & PECOS Enrollment Status
Sam Marzo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 7 | 5 | 2 | 5 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 14 | 5 | 4 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 4 + 5 + 4 + 5 + 1 + 2 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1699752568 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174525489 | DR. MICHAEL JM RAFFIN PH.D. Individual | Audiologist | 2160 S 1ST AVE MAYWOOD, IL 60153 (708) 216-3821 |
| 1992700033 | MS. SONYA RESCHLY M.S. Individual | Audiologist | 2160 S 1ST AVE MAYWOOD, IL 60153 (708) 216-3821 |
| 1417954868 | YING SUN M.S. Individual | Specialist | 2160 S 1ST AVE MAYWOOD, IL 60153 (708) 216-3821 |
| 1720085103 | MRS. KATHLEEN E. SCHORE M.S., CCC-A Individual | Specialist | 2160 S 1ST AVE LUMC/AUDIOLOGY MAYWOOD, IL 60153 (708) 206-3821 |
| 1437151974 | KEVIN J EMBACH M.D. Individual | Internal Medicine | 2160 S 1ST AVE LOYOLA UNIV. HOSPITAL, ROOM 7604 MAYWOOD, IL 60153 (708) 216-8757 |
| 1386621647 | J PAUL OKEEFE MD Individual | Internal Medicine (Infectious Disease) | 2160 S 1ST AVE (1950 S. HARLEM AVE., NORTH RIVERSIDE, IL. 60546) MAYWOOD, IL 60153 (708) 354-9250 |
| 1184601452 | STUART BRIAN JOHNSON MD Individual | Internal Medicine (Infectious Disease) | 2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD, IL 60153 (708) 216-3232 |
| 1346227295 | KAMIL MUZAFFAR MD Individual | Otolaryngology | 2160 S 1ST AVE (9608 ROBERTS RD., HICKORY HILLS, IL. 60457) MAYWOOD, IL 60153 (708) 233-5333 |
| 1952388803 | CHINYERE ANEZIOKORO MD Individual | Internal Medicine (Infectious Disease) | 2160 S 1ST AVE 101-1740, LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD, IL 60153 (708) 216-9000 |
| 1861479719 | ROBERT HENKIN MD Individual | Radiology (Nuclear Radiology) | 2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD, IL 60153 (708) 216-9000 |
| 1306823208 | DAVID HECHT MD Individual | Internal Medicine (Infectious Disease) | 2160 S 1ST AVE LUH - NORTH ENT. , RM.7604 MAYWOOD, IL 60153 (708) 216-3232 |
| 1215914189 | CARYL SALOMON MD Individual | Radiology (Diagnostic Radiology) | 2160 S 1ST AVE 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD, IL 60153 (708) 216-9000 |
| 1124005004 | VIKRAM C PRABHU MD Individual | Neurological Surgery | 2160 S 1ST AVE (MAGUIRE CENTER, RM. 1900) MAYWOOD, IL 60153 (708) 216-8563 |
| 1033196910 | CHRISTINE DUDIAK MD Individual | Radiology (Diagnostic Radiology) | 2160 S 1ST AVE MCGAW ENT., RM. 47 MAYWOOD, IL 60153 (708) 216-5221 |
| 1649257510 | WILLIAM GREENLEE MD Individual | Radiology (Neuroradiology) | 2160 S 1ST AVE MCGAW ENT., RM. 47 MAYWOOD, IL 60153 (708) 216-5221 |
| 1619954583 | KENNETH CRAIG MICETICH MD Individual | Internal Medicine (Hematology & Oncology) | 2160 S 1ST AVE (15750 MARION DR., HOMER GLEN, IL. 60491) MAYWOOD, IL 60153 (708) 645-3400 |
| 1528045499 | LAWRENCE CAMRAS MD Individual | Radiology (Neuroradiology) | 2160 S 1ST AVE (MCGAW ENT., RM. 47) MAYWOOD, IL 60153 (708) 216-5221 |
| 1215915772 | MRS. MONICA LEONA BARTH M.S., C.G.C. Individual | Genetic Counselor, MS | 2160 S 1ST AVE RM 1024, BLDG 103, OB/GYNE, LOYOLA UNIV MED CENTER MAYWOOD, IL 60153 (708) 216-0576 |
| 1316926140 | JAMES SWAN MD Individual | Dermatology | 2160 S 1ST AVE (321 LAGRANGE RD., LAGRANDE PARK, IL.60526) MAYWOOD, IL 60153 (708) 485-1020 |
| 1992784094 | IVAN PACOLD MD Individual | Internal Medicine (Cardiovascular Disease) | 2160 S 1ST AVE (1950 S. HARLEM AVE., NORTH RIVERSIDE, IL. 60546) MAYWOOD, IL 60153 (708) 354-9250 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699752568, enumerated in the NPI registry as an "individual" on December 30, 2005
The provider is located at 2160 S 1st Ave Maguire Center 1870 Maywood, Il 60153 and the phone number is (708) 216-9183
The provider's speciality is Otolaryngology with taxonomy code 207YX0901X with a focus in Otology & Neurotology
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on December 30, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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