Individual provider Active NPI

Garen Azizi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1013570472
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005982 Issued in IL
Practice address
5501 W Belmont Ave
Chicago, IL 60641-4130
Phone
(773) 205-0106
NPI assigned
Apr 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001401A IN
Student in an Organized Health Care Education/Training Program 390200000X 135.001030 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005982 IL Primary

Addresses

Primary practice location

5501 W Belmont Ave
Chicago, IL 60641-4130

Mailing address

5501 W Belmont Ave
Chicago, IL 60641-4130
Phone (773) 205-0106

Other practice location 1

5950 Hohman Ave
Hammond, IN 46320-2424
Phone (219) 501-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126000584 IL Practitioner - Podiatry 8123499308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gelbmann Podiatry IncGroup PAC ID 4082958459, 3 clinicians
Chicago Foot and Ankle PCGroup PAC ID 4688745029, 2 clinicians

Practice addresses (Care Compare)

1440 S Michigan Ave
Chicago, IL 60605-2822
Phone (773) 205-0106

5700 S Kedzie Ave
Chicago, IL 60629-2408
Phone (773) 925-5700

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions1-10
Removal of nail tissue369
Removal or shaving of skin growth52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005982ILMDFoot & Ankle Surgery Podiatrist
135.001030ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Forward Podiatry LLC Foot & Ankle Surgery Current Accepting new patients
Chicago Foot and Ankle PC Foot & Ankle Surgery CurrentSince Jan 1, 2025 Accepting new patients
Gelbmann Podiatry Inc Foot & Ankle Surgery CurrentSince Jul 1, 2023 Accepting new patients

Locations

5700 S Kedzie Ave
Chicago, IL 60629
Phone (773) 925-5700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1013570472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414130",
            "telephone_number": "773-205-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414130",
            "telephone_number": "773-205-0106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5950 Hohman Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463202424",
            "country_code": "US",
            "telephone_number": "219-501-0115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIZI",
        "first_name": "GAREN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-20",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001401A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "135.001030",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.