Individual provider Active NPI

Julia Eve Shauger, DPM

  • Foot & Ankle Surgery Podiatrist
  • Homewood, IL
National Provider Identifier
1083628101
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-004714 Issued in IL
Practice address
1757 Ridge Rd
Homewood, IL 60430-1812
Phone
(708) 799-7500
Fax
(708) 798-4563
NPI assigned
Jul 27, 2006
Last updated
Dec 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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 016-004714 IL Primary
Foot Surgery Podiatrist 213ES0131X 070009324A IN

Addresses

Primary practice location

1757 Ridge Rd
Homewood, IL 60430-1812

Mailing address

1757 Ridge Rd
Homewood, IL 60430-1812
Phone (708) 799-7500

Other identifiers 2

IdentifierTypeStateIssuer
4618176OtherILDEPT OF LABOR
1632534OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20070622000151 IL Practitioner - Podiatry 4486624764 Reassigns benefits to 1 organization
I20071003000172 IN Practitioner - Podiatry 4486624764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Surgeons Group IncGroup PAC ID 1052381332, 2 clinicians

Practice addresses (Care Compare)

1757 Ridge Rd
Homewood, IL 60430-1812
Phone (708) 799-7500

19638 S la Grange Rd
Mokena, IL 60448-9321
Phone (815) 464-6885

255 E 90TH Dr
Suite W2
Merrillville, IN 46410-8145
Phone (708) 799-7500

3042 Chicago Rd
South Chicago Heights, IL 60411-5441
Phone (708) 755-7505

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue63
Removal of skin lesions75
Removal of nail tissue372
Removal or shaving of skin growth29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004714ILMDFoot & Ankle Surgery Podiatrist
070009324AINMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Advocates, PC PastSince Jan 1, 2002 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jshauger106343@direct.franciscanalliance.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1083628101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 RIDGE RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301812",
            "telephone_number": "708-799-7500",
            "fax_number": "708-798-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 RIDGE RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301812",
            "telephone_number": "708-799-7500",
            "fax_number": "708-798-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAUGER",
        "first_name": "JULIA",
        "middle_name": "EVE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004714",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "070009324A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "4618176",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1632534",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

Verify at the official NPI Registry.