Mark Andrew Fenlon, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

16-004799 Issued in IL

Practice address

12620 S Harlem Ave
Palos Heights, IL 60463-1428

Phone

(708) 361-3338

Fax

(708) 361-3748

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mfenlon279344@direct.myadvocateaurora.org
• Direct secure messaging: mfenlon106136@direct.franciscanalliance.org

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.

• Centers for Foot and Ankle Surgery

  • Foot & Ankle Surgery Podiatrist
  • Morris, IL
  • NPI 1154498194
  Medicare reassignment NPD
• Centers for Foot and Ankle Surgery

  • Physical Therapist
  • Yorkville, IL
  • NPI 1316438799
  NPD
• Centers for Foot and Ankle Surgery

  • Durable Medical Equipment & Medical Supplies
  • Yorkville, IL
  • NPI 1912549650
  NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1043341068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631428",
            "telephone_number": "708-361-3338",
            "fax_number": "708-361-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631428",
            "telephone_number": "708-361-3338",
            "fax_number": "708-361-3748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "654 W Veterans Pkwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Yorkville",
            "state": "IL",
            "postal_code": "605602510",
            "country_code": "US",
            "telephone_number": "630-553-9300",
            "fax_number": "630-553-9306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 N Division St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604501184",
            "country_code": "US",
            "telephone_number": "815-942-9050",
            "fax_number": "815-942-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENLON",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "16-004799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Anne Faustini
• Shayan Fayaz, NP-C
• Janel Lynn Featherstone
• Kayla Nicole Federici, MS
• Jeanette K. Fefles, D.C.
• Jorge E Fernald, MD
• Isalys Rose Fernandez, OTR/L
• Diavontae Fields
• Amy Figel, LCPC
• Kendayl Fikes

• Foot & Ankle Surgery Podiatrist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.