Individual provider Active NPI

Kaye Lagdaan, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1063644052
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005452 Issued in IL
Practice address
4112 N Lincoln Ave
Chicago, IL 60618-3028
Phone
(773) 697-3511
Fax
(773) 697-3512
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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 016005452 IL Primary

Addresses

Primary practice location

4112 N Lincoln Ave
Chicago, IL 60618-3028

Mailing address

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

Other names 1

  • Mrs. Kaye Lagdaan Puetz Other name

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
I20130402000366 IL Practitioner - Podiatry 4981849551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
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 nail tissue324
Removal or shaving of skin growth85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kaye Lagdaan, P.C. Foot & Ankle Surgery CurrentSince Mar 30, 2012 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1063644052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183028",
            "telephone_number": "773-697-3511",
            "fax_number": "773-697-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183028",
            "telephone_number": "773-697-3511",
            "fax_number": "773-697-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGDAAN",
        "first_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYE",
            "last_name": "PUETZ",
            "middle_name": "LAGDAAN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.