Organization Active NPI

Gelbmann Podiatry Inc

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1043789332
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
GELBMANN PODIATRY INC
Practice address
1440 S Michigan Ave
Chicago, IL 60605-2822
Phone
(773) 205-0106
Fax
(773) 205-8107
NPI assigned
Nov 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
David Gelbmann, DPMNPI 1053609248
Title
Podiatrist
Phone
(773) 205-0106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1440 S Michigan Ave
Chicago, IL 60605-2822

Mailing address

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

Other practice location 1

1700 W Chicago Ave
Chicago, IL 60622-6553
Phone (312) 880-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181212001366 IL Part B Supplier - Clinic/Group Practice 4082958459 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL
O20190610001589 IL DME Supplier - Physician - Podiatry 4082958459 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1043789332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052822",
            "telephone_number": "773-205-0106",
            "fax_number": "773-205-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052822",
            "telephone_number": "773-205-0106",
            "fax_number": "773-205-8107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606226553",
            "country_code": "US",
            "telephone_number": "312-880-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GELBMANN PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "GELBMANN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "773-205-0106",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.