Active NPI
Athanasios Garbis, DPM
- Foot & Ankle Surgery Podiatrist
- Pontiac, MI
National Provider Identifier
1083399976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016.006157
- Practice address
- 50 N Perry St
Pontiac, MI 48342-2217 - Phone
- (248) 338-5392
- NPI assigned
- Jun 19, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 016.006157 | IL | Primary |
Addresses
Primary practice location
50 N Perry St
Pontiac, MI 48342-2217
Mailing address
7531 Lowell Ave
Skokie, IL 60076-3831
Phone (847) 909-3219
Other practice location 1
750 E Cotta Ave
Crystal Lake, IL 60014
Phone (847) 639-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230727002033 | MI | Order and Referring Only - Podiatry | 4587025275 |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
750 E Terra Cotta Ave
Suite C
Crystal Lake, IL 60014-3621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083399976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7531 LOWELL AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763831",
"telephone_number": "847-909-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N PERRY ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422217",
"telephone_number": "248-338-5392"
}
],
"practiceLocations": [
{
"address_1": "750 E Cotta Ave",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "60014",
"country_code": "US",
"telephone_number": "847-639-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARBIS",
"first_name": "ATHANASIOS",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-19",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016.006157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.