Active NPI
Foundation Foot and Ankle Center LLC
- Durable Medical Equipment & Medical Supplies
- Naperville, IL
National Provider Identifier
1194397844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FOUNDATION FOOT AND ANKLE CENTER LLC
- Practice address
- 1012 95TH St Ste 12
Naperville, IL 60564-5040 - Phone
- (630) 635-5889
- Fax
- (630) 570-2400
- NPI assigned
- Jul 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Yang, DPM
- Title
- Owner and Ao
- Phone
- (504) 410-4702
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1012 95TH St Ste 12
Naperville, IL 60564-5040
Mailing address
1012 95TH St Ste 12
Naperville, IL 60564-5040
Phone (630) 635-5889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210816001308 | IL | DME Supplier - Physician - Podiatry | 1456751379 | Practice locations: Naperville, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Foundation Foot and Ankle Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Naperville, IL
- NPI 1962092437
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Naperville, IL
- NPI 1659754000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717718400000",
"number": "1194397844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 95TH ST STE 12",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645040",
"telephone_number": "630-635-5889",
"fax_number": "630-570-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 95TH ST STE 12",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645040",
"telephone_number": "630-635-5889",
"fax_number": "630-570-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATION FOOT AND ANKLE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-13",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "OWNER AND AO",
"authorized_official_telephone_number": "504-410-4702",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.