Individual provider Active NPI

Robert A Weil, DPM

  • Podiatrist
  • Lisle, IL
National Provider Identifier
1043362189
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016002670 Issued in IL
Practice address
1617 Ogden Ave Ste 6
Lisle, IL 60532-1980
Phone
(630) 898-3505
Fax
(630) 559-8889
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016002670 IL Primary

Addresses

Primary practice location

1617 Ogden Ave Ste 6
Lisle, IL 60532-1980

Mailing address

95 Trade St
Ste 102
Aurora, IL 60504
Phone (630) 898-3505

Other identifiers 1

IdentifierTypeStateIssuer
60000761OtherBCBS PROVIDER

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120424000436 IL Practitioner - PodiatryPractitioner - Sports Medicine 5597927327 Practice locations: Aurora, IL

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
Education
William M. Scholl College of Podiatric Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

95 Trade St
Suite 102
Aurora, IL 60504-8296
Phone (630) 898-3505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1043362189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 TRADE ST",
            "address_2": "STE 102",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-898-3505",
            "fax_number": "630-898-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 OGDEN AVE STE 6",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321980",
            "telephone_number": "630-898-3505",
            "fax_number": "630-559-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIL",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016002670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "60000761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.