Paul Potach, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004088 Issued in IL

Practice address

31 West Dundee
Wheeling, IL 60090

Phone

(847) 215-1525

Fax

(847) 215-7682

NPI assigned

Aug 19, 2006

Last updated

Oct 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

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 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Paul Potach D.P.M. P.C.

  dba Dundee Foot & Ankle Center

  • Podiatrist
  • Wheeling, IL
  • NPI 1336316942

  8921146234

  Same PAC ID

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Instavaxx LLCGroup PAC ID 7911305586, 4 clinicians

Crystal Lake Foot and Ankle Center LLCGroup PAC ID 2264896927, 2 clinicians

Midwest Home Physicians IncGroup PAC ID 0941613426, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFIIDD/Endpoint/CFIIDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crystal Lake Foot & Ankle Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Crystal Lake, IL
  • NPI 1649986795
  Medicare reassignment Care Compare group NPD Authorized official
• Instavaxx LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1134793771
  Medicare reassignment Care Compare group NPD
• Paul Potach D.P.M. P.C.

  dba Dundee Foot & Ankle Center

  • Podiatrist
  • Wheeling, IL
  • NPI 1336316942
  Medicare reassignment NPD Authorized official
• Podiatry Service of America Corp

  • Foot & Ankle Surgery Podiatrist
  • Wheeling, IL
  • NPI 1720501257
  Medicare reassignment NPD Authorized official
• Midwest Home Physicians Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1760086540

  IL

  Medicare reassignment Care Compare group
• Innovative Vascular and Therapeutics, PLLC

  • Vascular & Interventional Radiology Physician
  • Oak Park, IL
  • NPI 1386291664
  Medicare reassignment
• Paul Potach D.P.M.,P.C.

  • Podiatrist
  • Wheeling, IL
  • NPI 1063387173
  Authorized official Same address or phone
• Paul Potach, DPM, PC

  dba Dundee Foot and Ankle Center

  • Non-Pharmacy Dispensing Site
  • Wheeling, IL
  • NPI 1639420565
  Authorized official Same address or phone
• Potach-Moon Podiatry Group, LLC

  dba PM Podiatry Group

  • Foot & Ankle Surgery Podiatrist
  • Cicero, IL
  • NPI 1679957914
  NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1073627410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WEST DUNDEE",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "847-215-1525",
            "fax_number": "847-215-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WEST DUNDEE",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "60090",
            "telephone_number": "847-215-1525",
            "fax_number": "847-215-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTACH",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Podiatric Management Systems LLC (Anthony Spitz DPM)
• Podiatry Service of America Corp
• Marta J Polka, ED.S.
• Alexander Portnoy, DMD
• Kenneth Portnoy, O.D.
• Michael Preissing, MSW
• Prime Health Medical and Rehab LTD
• Nicole Marie Pronek, LPN
• John Quintero
• Radiance Physical Therapy LLC

• Podiatrist in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.

Verify at the official NPI Registry.