Individual provider Active NPI

Zenat Hussaini, DPM

  • Foot & Ankle Surgery Podiatrist
  • Park Ridge, IL
National Provider Identifier
1093375347
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.006001 Issued in IL
Practice address
463 Summit Ave Apt D
Park Ridge, IL 60068-4987
Phone
(248) 835-4515
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 135.001043 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 016.006001 IL Primary

Addresses

Primary practice location

463 Summit Ave Apt D
Park Ridge, IL 60068-4987

Mailing address

463 Summit Ave Apt D
Park Ridge, IL 60068-4987
Phone (248) 835-4515

Other practice location 1

5140 N California Ave
Chicago, IL 60625-3645
Phone (773) 878-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 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
I20221130002169 IL Practitioner - Podiatry 7315315082 Reassigns benefits to 1 organization
I20240626003212 TX Practitioner - Podiatry 7315315082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PAGroup PAC ID 1759334782, 24 clinicians

Practice addresses (Care Compare)

2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1037
Removal or shaving of skin growth655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.006001ILMDFoot & Ankle Surgery Podiatrist
135.001043ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a Zimmerman, D.P.M., LTD. Foot & Ankle Surgery CurrentSince Jan 9, 2022 Accepting new patients
Healthdrive Podiatry Group, PA CurrentSince May 19, 2024 Accepting new patients

Locations

10 E 22nd St
Ste 205
Lombard, IL 60148
Phone (630) 953-8088

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

4201 Stonegate Blvd
Ft Worth, TX 76109
Phone (817) 924-5440

2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1093375347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 SUMMIT AVE APT D",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684987",
            "telephone_number": "248-835-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 SUMMIT AVE APT D",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684987",
            "telephone_number": "248-835-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5140 N California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253645",
            "country_code": "US",
            "telephone_number": "773-878-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAINI",
        "first_name": "ZENAT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "135.001043",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.006001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.