Individual provider Active NPI

Carmen Garcia

  • Podiatrist
  • Mount Prospect, IL
National Provider Identifier
1194169557
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
316.002904 Issued in IL
Practice address
1406 S Chestnut Dr
Mount Prospect, IL 60056-4520
Phone
(708) 628-4520
Fax
(773) 847-4467
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 316.002904 IL Primary

Addresses

Primary practice location

1406 S Chestnut Dr
Mount Prospect, IL 60056-4520

Mailing address

2440 S Laramie Ave Unit 50646
Cicero, IL 60804-5147
Phone (708) 320-1510

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
I20170103001000 IL Practitioner - Podiatry 7517248669 Reassigns benefits to 2 organizations
Practice locations: Mount Prospect, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Mount Prospect, IL 60056
Phone (708) 320-1510

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 nail tissue1316
Removal or shaving of skin growth1011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
316.002904ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry at Your Door by Dr. Garcia, P.C. Podiatrist CurrentSince Mar 6, 2018 Accepting new patients
Carmen Garcia Podiatry, P.C. Podiatrist CurrentSince Apr 7, 2017 Accepting new patients

Locations

3631 N Harlem Ave
Chicago, IL 60634
Phone (773) 653-2118

2440 S Laramie Ave
Unit 50646
Cicero, IL 60804
Phone (708) 320-1510

900 Ogden Ave
Downers Grove, IL 60515
Phone (773) 234-0388

Organizations & group practices 2

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": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1194169557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 S LARAMIE AVE UNIT 50646",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608045147",
            "telephone_number": "708-320-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 S CHESTNUT DR",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564520",
            "telephone_number": "708-628-4520",
            "fax_number": "773-847-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "316.002904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.