Individual provider Active NPI

Summer Evalyn Schaal Bochat, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crystal Lake, IL
National Provider Identifier
1144472523
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005355 Issued in IL
Practice address
750 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3621
Phone
(847) 639-5800
NPI assigned
Oct 16, 2008
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 970-25 WI
Foot & Ankle Surgery Podiatrist 213ES0103X 970-25 WI
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005355 IL Primary

Addresses

Primary practice location

750 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3621

Mailing address

750 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3621
Phone (847) 639-5800

Other identifiers 4

IdentifierTypeStateIssuer
1417141227OtherNPI
43260300MedicaidWI
1144472523OtherNPI
100004663MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Direct Advocate Aurora Healthcare

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
I20110208000729 IL Practitioner - Podiatry 8426102302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

113 W Main St
Cary, IL 60013-2718
Phone (847) 639-5800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue197
Removal of skin lesions164
Removal of nail tissue1845
Removal or shaving of skin growth239
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005355ILMDFoot & Ankle Surgery Podiatrist
970-25WIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince Nov 1, 2017 Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Podiatrist CurrentSince Nov 1, 2017 Accepting new patients
Evanston Podiatric Surgeons PC Podiatrist CurrentSince Jan 3, 2011 Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Podiatrist Current Accepting new patients
Family Foot Clinics of Wisconsin SC Foot & Ankle Surgery Past Accepting new patients
Family Foot Clinics of Wisconsin SC Foot & Ankle Surgery Past Accepting new patients
Northern Illinois Foot & Ankle Specialists Foot & Ankle Surgery Past Accepting new patients

Locations

113 W Main St
Cary, IL 60013
Phone (708) 639-5800

750 E Terra Cotta Ave
Ste A
Crystal Lake, IL 60014
Phone (815) 455-1800

750 E Terra Cotta Ave
Ste C
Crystal Lake, IL 60014
Phone (815) 455-0800

2500 Ridge Ave
Ste 11
Evanston, IL 60201

2500 Ridge Ave
Ste 110
Evanston, IL 60201
Phone (847) 328-6440

1288 S US Highway 12
Fox Lake, IL 60020

165 N Lakewood Rd
Ste A
Lake in the Hills, IL 60156
Phone (846) 639-5800

Organizations & group practices 7

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 2

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": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1144472523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E TERRA COTTA AVE STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143621",
            "telephone_number": "847-639-5800",
            "fax_number": "847-475-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E TERRA COTTA AVE STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143621",
            "telephone_number": "847-639-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHAT",
        "first_name": "SUMMER",
        "middle_name": "EVALYN SCHAAL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "970-25",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "970-25",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417141227",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43260300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144472523",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004663",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "Advocate Aurora",
            "affiliationName": "Advocate Aurora Healthcare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sbochat304340@direct.myadvocateaurora.org",
            "address_1": "750 E Terra Cotta Ave Ste C",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600143621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.