Individual provider Active NPI

Jay Andrew Hengel, DPM

  • Podiatrist
  • Westchester, IL
National Provider Identifier
1033169693
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Practice address
10442 W Cermak Rd
Westchester, IL 60154-5201
Phone
(708) 562-1123
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X IL Primary

Addresses

Primary practice location

10442 W Cermak Rd
Westchester, IL 60154-5201

Mailing address

10442 W Cermak Rd
Westchester, IL 60154-5201
Phone (708) 562-1123

Other identifiers 1

IdentifierTypeStateIssuer
01623487OtherILBC/BS OF IL

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
I20100114000681 IL Practitioner - Podiatry 9032251939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Foot Physicians IncGroup PAC ID 6608887195, 2 clinicians

Practice addresses (Care Compare)

10442 W Cermak Rd
Westchester, IL 60154-5201
Phone (708) 562-1123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue879
Removal or shaving of skin growth359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Foot Physicians Inc Podiatrist CurrentSince Mar 15, 2000 Accepting new patients

Locations

10442 W Cermak Rd
Westchester, IL 60154
Phone (708) 562-1123

10444 W Cermak Rd
Westchester, IL 60154
Phone (312) 562-1123

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/BguK45g6jzlyWbV8aA_pUBqa6WtQIC87/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1033169693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10442 W CERMAK RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545201",
            "telephone_number": "708-562-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10442 W CERMAK RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545201",
            "telephone_number": "708-562-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENGEL",
        "first_name": "JAY",
        "middle_name": "ANDREW",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL",
            "identifier": "01623487",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

Verify at the official NPI Registry.