Active NPI
Kaye Lagdaan, D.P.M
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
National Provider Identifier
1063644052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016005452
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4112 N Lincoln Ave
Chicago, IL 60618-3028
Phone (773) 697-3511
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 324 |
| Removal or shaving of skin growth | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Kaye Lagdaan, P.C. | Foot & Ankle Surgery | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.