Individual provider Active NPI

John T Flanagan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1174511174
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004189 Issued in IL
Practice address
6304 N Nagle Ave
Chicago, IL 60646-3614
Phone
(773) 853-0081
Fax
(773) 853-2970
NPI assigned
Oct 12, 2005
Last updated
Jun 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016004189 IL Primary

Addresses

Primary practice location

6304 N Nagle Ave
Chicago, IL 60646-3614

Mailing address

6304 N Nagle Ave
Chicago, IL 60646-3614
Phone (773) 853-0081

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081118000763 IL Practitioner - PodiatryPractitioner - Sports Medicine 3779643911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
Education
William M. Scholl College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark E Neamand DPM PCGroup PAC ID 2365521515, 2 clinicians

Practice addresses (Care Compare)

621 Devon Ave
Park Ridge, IL 60068-4732
Phone (847) 698-2895

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of skin lesions44
Removal of nail tissue994
Removal or shaving of skin growth506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
James G Elipas DPM PC Foot & Ankle Surgery CurrentSince Mar 6, 1995 Accepting new patients
James G Elipas DPM PC Foot & Ankle Surgery CurrentSince Mar 6, 1995 Accepting new patients
Mark E Neamand DPM PC Foot & Ankle Surgery CurrentSince Apr 15, 2021 Accepting new patients

Locations

6304 N Nagle Ave
Chicago, IL 60646
Phone (773) 631-6802

6304 N Nagle Ave
Ste 1
Chicago, IL 60646
Phone (773) 853-0081

621 Devon Ave
Park Ridge, IL 60068
Phone (847) 698-2895

Interoperability endpoints

  • Direct secure messaging: john.flanagan@mendp-il.direct.office.nextgen.com

Organizations & group practices 3

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 1

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1174511174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 N NAGLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463614",
            "telephone_number": "773-853-0081",
            "fax_number": "773-853-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 N NAGLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463614",
            "telephone_number": "773-853-0081",
            "fax_number": "773-853-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.