Organization Active NPI

Yelena Boumendjel, DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Schaumburg, IL
National Provider Identifier
1063159119
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
YELENA BOUMENDJEL, DPM, LLC
Practice address
1025 W Wise Rd Ste 100
Schaumburg, IL 60193-3746
Phone
(224) 653-2260
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Yelena BoumendjelNPI 1255684635
Title
DPM
Phone
(224) 653-9287

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

1025 W Wise Rd Ste 100
Schaumburg, IL 60193-3746

Mailing address

1025 W Wise Rd Ste 100
Schaumburg, IL 60193-3746
Phone (224) 653-2260

Other names 1

  • Precision Foot and Ankle Clinic Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220728000503 IL Part B Supplier - Clinic/Group Practice 2668854316 Receives reassigned benefits from 1 practitioner
Practice locations: Schaumburg, IL
O20230912004337 IL DME Supplier - Physician - Podiatry 2668854316 Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

1025 W Wise Rd
Ste 100
Schaumburg, IL 60193
Phone (224) 653-2260

Practitioners & affiliated clinicians

Practitioners 1

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": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1063159119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W WISE RD STE 100",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933746",
            "telephone_number": "224-653-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W WISE RD STE 100",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933746",
            "telephone_number": "224-653-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA BOUMENDJEL, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "BOUMENDJEL",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "224-653-9287"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Foot and Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.