Individual provider Active NPI

Sonu Joseph, DPM

  • Foot & Ankle Surgery Podiatrist
  • Palatine, IL
National Provider Identifier
1043662018
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002649 Issued in MI
Practice address
434 E Palatine Rd
Palatine, IL 60074-5119
Phone
(847) 398-0900
Fax
(847) 398-0973
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002649 MI Primary

Addresses

Primary practice location

434 E Palatine Rd
Palatine, IL 60074-5119

Mailing address

434 E Palatine Rd
Palatine, IL 60074-5119
Phone (847) 398-0900

Other practice location 1

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7607

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
I20190617001135 IL Practitioner - Podiatry 8123351624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry and Sports Medicine Associates P.C.Group PAC ID 2264495365, 2 clinicians

Practice addresses (Care Compare)

351 Greenleaf St
Suite C
Park City, IL 60085-5701
Phone (847) 263-6073

Hospital & facility affiliations

  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions1-10
Removal of nail tissue157
Removal or shaving of skin growth119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002649MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Bever DPM LLC CurrentSince Jul 17, 2023 Accepting new patients
Mary Olszewski and Associates P C Foot & Ankle Surgery CurrentSince Jul 1, 2019 Accepting new patients

Locations

1804 N Arlington Heights Rd
Arlington Hts, IL 60004
Phone (847) 398-0900

434 E Palatine Rd
Palatine, IL 60074
Phone (847) 398-0900

351 Greenleaf St
Ste C
Park City, IL 60085
Phone (847) 263-6073

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1043662018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 E PALATINE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745119",
            "telephone_number": "847-398-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 E PALATINE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745119",
            "telephone_number": "847-398-0900",
            "fax_number": "847-398-0973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27351 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480713487",
            "country_code": "US",
            "telephone_number": "248-967-7607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SONU",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.