Individual provider Active NPI

Heidi Marie Hoffmann, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1063586196
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-005157 Issued in IL
Practice address
6560 W Higgins Ave
Chicago, IL 60656-2161
Phone
(773) 775-0300
Fax
(773) 775-0883
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-005157 IL Primary

Addresses

Primary practice location

6560 W Higgins Ave
Chicago, IL 60656-2161

Mailing address

6560 W Higgins Ave
Chicago, IL 60656-2161
Phone (773) 775-0300

Other identifiers 1

IdentifierTypeStateIssuer
10065157MedicaidIL

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
I20040621000845 IL Practitioner - Podiatry 6608851092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Kaye Lagdaan, P.C.Group PAC ID 9234378407, 2 clinicians

Practice addresses (Care Compare)

4112 N Lincoln Ave
Chicago, IL 60618-3028
Phone (773) 697-3511

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue538
Removal or shaving of skin growth240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-005157ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kaye Lagdaan, P.C. Podiatrist CurrentSince Oct 30, 2017 Accepting new patients
Midwest Foot and Ankle Center, PC Podiatrist CurrentSince Jul 2, 2018 Accepting new patients

Locations

4112 N Lincoln Ave
Chicago, IL 60618
Phone (773) 248-0300

8310 Lemont Rd
Darien, IL 60561
Phone (630) 218-0014

1167 E Algonquin Rd
Ste 1
Des Plaines, IL 60016
Phone (847) 789-7714

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1063586196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562161",
            "telephone_number": "773-775-0300",
            "fax_number": "773-775-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562161",
            "telephone_number": "773-775-0300",
            "fax_number": "773-775-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-005157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10065157",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.