Individual provider Active NPI

David Anthony Charnota, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lake Zurich, IL
National Provider Identifier
1205848975
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016003264 Issued in IL
Practice address
765 Ela Road
Suite 100
Lake Zurich, IL 60047-2339
Phone
(847) 540-9949
Fax
(847) 540-9971
NPI assigned
Aug 12, 2006
Last updated
Aug 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 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 016003264 IL Primary

Addresses

Primary practice location

765 Ela Road
Suite 100
Lake Zurich, IL 60047-2339

Mailing address

765 Ela Road
Suite 100
Lake Zurich, IL 60047-2339
Phone (847) 540-9949

Other identifiers 1

IdentifierTypeStateIssuer
480003019OtherILRAILROAD MEDICARE

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
I20080627000402 IL Practitioner - Podiatry 5698847101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Foot Specialist PC Foot & Ankle Surgery CurrentSince Jul 8, 1993 Accepting new patients

Locations

765 Ela Rd
Ste 100
Lake Zurich, IL 60047
Phone (847) 540-9949

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1205848975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 ELA ROAD",
            "address_2": "SUITE 100",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472339",
            "telephone_number": "847-540-9949",
            "fax_number": "847-540-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ELA ROAD",
            "address_2": "SUITE 100",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472339",
            "telephone_number": "847-540-9949",
            "fax_number": "847-540-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNOTA",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480003019",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

Verify at the official NPI Registry.