Organization Active NPI

Interactive Physicians LTD

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1093844169
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
16004998 Issued in IL
Legal business name
INTERACTIVE PHYSICIANS LTD
Practice address
2150 West McLean Ave
#1E
Chicago, IL 60647-5628
Phone
(312) 493-3114
Fax
(866) 904-2944
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Paras Parekh, D.P.M.NPI 1588648414
Title
Owner
Phone
(312) 493-3114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 16004998 IL Primary

Addresses

Primary practice location

2150 West McLean Ave
#1E
Chicago, IL 60647-5628

Mailing address

2150 W McLean Ave
Suite 1E
Chicago, IL 60647
Phone (312) 493-3114

Other identifiers 1

IdentifierTypeStateIssuer
DC4879OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040506000852 IL Part B Supplier - Clinic/Group Practice 2062401078 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL
O20100930035621 IL DME Supplier - Physician - Podiatry 2062401078 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

2320 N Damen Ave
Ste 1F
Chicago, IL 60647
Phone (312) 493-3114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1093844169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W MCLEAN AVE",
            "address_2": "SUITE 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "312-493-3114",
            "fax_number": "866-904-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 WEST MCLEAN AVE",
            "address_2": "#1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475628",
            "telephone_number": "312-493-3114",
            "fax_number": "866-904-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE PHYSICIANS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "PARAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-493-3114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "16004998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC4879",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.