Individual provider Active NPI

Joshua Nathan Riegelhaupt, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gurnee, IL
National Provider Identifier
1093237596
Registry record updated May 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005864 Issued in IL
Practice address
103 S Greenleaf St
Ste B
Gurnee, IL 60031-3380
Phone
(586) 427-1000
NPI assigned
Jul 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2020

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 016005864 IL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002708 MI

Addresses

Primary practice location

103 S Greenleaf St
Ste B
Gurnee, IL 60031-3380

Mailing address

1630 McCraren Rd
Highland Park, IL 60035-2223
Phone (847) 877-8729

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
I20200627000100 IL Practitioner - Podiatry 8123440773 Reassigns benefits to 1 organization
Practice locations: Gurnee, IL; Glenview, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005864ILMDFoot & Ankle Surgery Podiatrist
5901002708MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ron Riegelhaupt Foot & Ankle Surgery PastSince May 10, 2020 Accepting new patients

Organizations & group practices 2

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588377600000",
    "number": "1093237596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MCCRAREN RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352223",
            "telephone_number": "847-877-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S GREENLEAF ST",
            "address_2": "STE B",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313380",
            "telephone_number": "586-427-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGELHAUPT",
        "first_name": "JOSHUA",
        "middle_name": "NATHAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005864",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.