Active NPI
Heidi C Larson, DPM
- Podiatrist
- Naperville, IL
National Provider Identifier
1134129778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016-004775
- Practice address
- 859 Raintree Dr
Naperville, IL 60540-6382 - Phone
- (630) 579-9182
- NPI assigned
- Jul 26, 2005
- Last updated
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016-004775 | IL | Primary |
Addresses
Primary practice location
859 Raintree Dr
Naperville, IL 60540-6382
Mailing address
PO Box 6542
Naperville, IL 60567-6542
Phone (630) 579-9182
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050412000194 | IL | Practitioner - Podiatry | 8426095415 | Practice locations: Naperville, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Naperville, IL 60540
Phone (630) 886-9182
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 51 |
| Removal of nail tissue | 1479 |
| Removal or shaving of skin growth | 1183 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-004775 | IL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1134129778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6542",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605676542",
"telephone_number": "630-579-9182",
"fax_number": "630-579-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 RAINTREE DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406382",
"telephone_number": "630-579-9182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "HEIDI",
"middle_name": "C",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016-004775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.