Individual provider Active NPI

Anthony Henry Borrelli, DPM

  • Podiatrist
  • Mount Prospect, IL
National Provider Identifier
1083612683
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-003340 Issued in IL
Practice address
1660 Feehanville Dr Ste 100
Mount Prospect, IL 60056-6019
Phone
(847) 390-7666
Fax
(847) 390-9345
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016-003340 IL
Podiatrist 213E00000X 016-003340 IL Primary

Addresses

Primary practice location

1660 Feehanville Dr Ste 100
Mount Prospect, IL 60056-6019

Mailing address

1660 Feehanville Dr Ste 450
Mt Prospect, IL 60056-6023
Phone (847) 390-7666

Other practice location 1

2101 Waukegan Rd Ste 203
Bannockburn, IL 60015-1836
Phone (847) 390-7666

Other identifiers 2

IdentifierTypeStateIssuer
016003340MedicaidIL
60000380OtherILBCBS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ahb@weil.emadirect.md Direct
Direct Messaging Address ahb@weil.emadirect.md Direct

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
I20100127000037 IL Practitioner - Podiatry 5193716710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1660 Feehanville Dr
Suite 100
Mount Prospect, IL 60056-6019
Phone 84739076666205

Merit-based Incentive Payment System (MIPS)

Final score
72.24 of 100Reported as individual
Quality
50.08
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions1-10
Removal of nail tissue139
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-003340ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Jul 1, 1988 Accepting new patients
Weil Foot and Ankle Institute LLC Current Accepting new patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Jul 1, 1988 Accepting new patients
Weil Foot Ankle & Orthopedic Institute Podiatrist PastSince Jul 15, 2021 Accepting new patients

Locations

2101 Waukegan Rd
Ste 203
Bannockburn, IL 60015
Phone 8473907666 ext. 6239

3000 N Halsted St
Ste 700
Chicago, IL 60657
Phone (773) 296-7937

5215 N California Ave
Ste F605
Chicago, IL 60625

1455 E Golf Rd
Ste 110
Des Plaines, IL 60016
Phone 84739076666205

1300 Waukegan Rd
Glenview, IL 60025
Phone 8473907666 ext. 6205

15531 E 127th St
Lemont, IL 60439
Phone (630) 243-9895

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924

610 S Maple Ave
Ste 2550
Oak Park, IL 60304
Phone (708) 660-6100

18425 West Creek Dr
Ste C
Tinley Park, IL 60477

8500 75th St
Ste 105
Kenosha, WI 53142
Phone (847) 994-4195

Interoperability endpoints

  • Direct secure messaging: ahb@weil.emadirect.md

Organizations & group practices 4

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1083612683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 100",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566019",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Waukegan Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bannockburn",
            "state": "IL",
            "postal_code": "600151836",
            "country_code": "US",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORRELLI",
        "first_name": "ANTHONY",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-003340",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-003340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003340",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60000380",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahb@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1660 Feehanville Dr Ste 100",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600566019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahb@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2101 Waukegan Rd Ste 203",
            "city": "Bannockburn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600151836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.