Mid America Foot & Ankle Specialist Illinois LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MID AMERICA FOOT & ANKLE SPECIALIST ILLINOIS LLC

Practice address

2003 Montgomery Rd Ste 108-109
Aurora, IL 60504-9078

Phone

(630) 401-8286

Fax

(630) 401-8648

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Shayan Alamgir, DPMNPI 1841729084

Title

Physician

Phone

(630) 401-8286

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Shayan Alamgir, DPM

  • Foot & Ankle Surgery Podiatrist
  • Aurora, IL
  • NPI 1841729084
  Medicare reassignment Care Compare group NPD Authorized official
• Shuja Abbas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1891375598
  Medicare reassignment Care Compare group NPD
• Fahad Tahir, DPM

  • Foot & Ankle Surgery Podiatrist
  • Aurora, IL
  • NPI 1851968481
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1154930485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 MONTGOMERY RD STE 108-109",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605049078",
            "telephone_number": "630-401-8286",
            "fax_number": "630-401-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MONTGOMERY RD STE 108-109",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605049078",
            "telephone_number": "630-401-8286",
            "fax_number": "630-401-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA FOOT & ANKLE SPECIALIST ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "ALAMGIR",
        "authorized_official_first_name": "SHAYAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-401-8286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "footspecialistillinois@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2003 Montgomery Rd Ste 108109",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605049078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.footspecialistil.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2003 Montgomery Rd Ste 108",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605049049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather L Michael, LCSW, CADC
• Lauren Rose Michel
• Leah Kristene Michelli, MMS, PA-C
• Ginger Michels, L. AC.
• Joseph J Michels, D.M.D.
• Renee Middleton, APRN, FNP-C
• Midwest Asian Health Association
• Midwest Dental Associates
• Midwest Dressing Supply Corp
• Midwest Express Care 2, Inc

• Foot & Ankle Surgery Podiatrist in Aurora, IL
• Providers in Aurora, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.