Individual provider Active NPI

Bijoy Abraham, D.P.M.

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1164860482
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005618 Issued in IL
Practice address
2900 N Lake Shore Dr
Chicago, IL 60657
Phone
(312) 243-3769
NPI assigned
Jun 9, 2013
Last updated
Aug 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005618 IL Primary

Addresses

Primary practice location

2900 N Lake Shore Dr
Chicago, IL 60657

Mailing address

1331 W Windhill Dr
Palatine, IL 60067-9110
Phone (630) 748-9155

Other practice location 1

2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (312) 243-3769

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
I20160817000663 IL Practitioner - Podiatry 5890084651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Podiatry Associates LTDGroup PAC ID 8921332115, 3 clinicians

Practice addresses (Care Compare)

912 Northwest Hwy
Suite G 6
Fox River Grove, IL 60021-1925
Phone (847) 639-2525

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue57
Removal of skin lesions1-10
Removal of nail tissue367
Removal or shaving of skin growth105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland Foot and Ankle, PC CurrentSince Jul 11, 2016 Accepting new patients
Chicagoland Foot and Ankle, PC Podiatrist CurrentSince Jul 11, 2016 Accepting new patients
Suburban Orthopaedics LTD Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHECCD/Endpoint/EHECCD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1370736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1164860482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W WINDHILL DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600679110",
            "telephone_number": "630-748-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "312-243-3769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575640",
            "country_code": "US",
            "telephone_number": "312-243-3769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "BIJOY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-09",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.