Individual provider Active NPI

Mark E Neamand, DPM

  • Foot & Ankle Surgery Podiatrist
  • Park Ridge, IL
National Provider Identifier
1194884452
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-004983 Issued in IL
Practice address
621 Devon Ave
Park Ridge, IL 60068-4732
Phone
(847) 698-2895
Fax
(847) 698-2942
NPI assigned
Dec 6, 2006
Last updated
Nov 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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 016-004983 IL Primary

Addresses

Primary practice location

621 Devon Ave
Park Ridge, IL 60068-4732

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
P00163244OtherILRAILROAD MEDICARE
1626856OtherILBC/BS OF IL

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
I20080430000081 IL Practitioner - Podiatry 6002995255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2000
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 tissue200
Removal of skin lesions18
Removal of nail tissue368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004983ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark E Neamand DPM PC Foot & Ankle Surgery CurrentSince Jul 8, 2002 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: mark.neamand@mendp-il.direct.office.nextgen.com

Organizations & group practices 1

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1194884452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 DEVON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684732",
            "telephone_number": "847-698-2895",
            "fax_number": "847-698-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 DEVON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684732",
            "telephone_number": "847-698-2895",
            "fax_number": "847-698-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAMAND",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00163244",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL",
            "identifier": "1626856",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.