Individual provider Active NPI

Sidney Weiser, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1174633218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004192 Issued in IL
Practice address
724 W 31St St
Chicago, IL 60616-3007
Phone
(312) 225-2444
Fax
(312) 225-9366
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004192 IL Primary

Addresses

Primary practice location

724 W 31St St
Chicago, IL 60616-3007

Mailing address

724 W 31St St
Chicago, IL 60616-3007
Phone (312) 225-2444

Other identifiers 1

IdentifierTypeStateIssuer
016004192MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050408000419 IL Practitioner - Podiatry 9638164726 Reassigns benefits to 1 organization
I20250903003776 FL Practitioner - Podiatry 9638164726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7025 Beracasa Way
Suite 102G
Boca Raton, FL 33433-3428

9933 Lawler Ave
Skokie, IL 60077-3710

PO Box
Suite 402308
Miami Beach, FL 33140

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue23
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Podiatry Group of FL LTD Podiatrist CurrentSince Jan 4, 2010 Accepting new patients
BH Podiatry Care of Florida LLC Podiatrist Current Accepting new patients
Quality Podiatry Group, LTD Podiatrist CurrentSince Jan 1, 1993 Accepting new patients

Locations

7025 Beracasa Way
Ste 102G
Boca Raton, FL 33433
Phone (773) 321-2681

216 Santa Barbara Blvd
Cape Coral, FL 33991
Phone (239) 772-4600

808 Colley Rd
Starke, FL 32091
Phone (904) 454-1198

3405 S Michigan Ave
Chicago, IL 60616
Phone (312) 326-9101

3048 W Peterson Ave
Chicago, IL 60659
Phone (773) 274-5026

724 W 31st St
Chicago, IL 60616
Phone (312) 225-2444

39 S Virginia St
Crystal Lake, IL 60014
Phone (773) 321-2681

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

2195 Foxglove Dr
Northbrook, IL 60062
Phone (847) 480-7110

9933 Lawler Ave
Ste 225
Skokie, IL 60077
Phone (312) 225-2444

105 E 23rd St
Sterling, IL 61081
Phone (815) 381-4264

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174633218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 W 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163007",
            "telephone_number": "312-225-2444",
            "fax_number": "312-225-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163007",
            "telephone_number": "312-225-2444",
            "fax_number": "312-225-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISER",
        "first_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004192",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.