Individual provider Active NPI

Sabrina Landers, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1225415458
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005727 Issued in IL
Practice address
11628 S Western Ave
Chicago, IL 60643-4730
Phone
(773) 941-4040
Fax
(773) 364-7764
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 016005727 IL Primary

Addresses

Primary practice location

11628 S Western Ave
Chicago, IL 60643-4730

Mailing address

11628 S Western Ave
Chicago, IL 60643-4730
Phone (773) 941-4040

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
I20190506002057 IL Practitioner - Podiatry 2062717689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castle Podiatry LLCGroup PAC ID 8921430265, 3 clinicians

Practice addresses (Care Compare)

11628 S Western Ave
Chicago, IL 60643-4730
Phone (773) 941-4040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue99
Removal of skin lesions208
Removal of nail tissue213
Removal or shaving of skin growth96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Podiatry, LLC Foot & Ankle Surgery CurrentSince Sep 1, 2019 Accepting new patients
Jondelle Jenkins Foot & Ankle Surgery Past Accepting new patients

Locations

10431 S Kedzie Ave
Chicago, IL 60655
Phone (773) 239-8660

11628 S Western Ave
Chicago, IL 60643
Phone (773) 941-4040

Interoperability endpoints

  • Direct secure messaging: dr.landers@kfaas-il.direct.office.nextgen.com

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1225415458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11628 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434730",
            "telephone_number": "773-941-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434730",
            "telephone_number": "773-941-4040",
            "fax_number": "773-364-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERS",
        "first_name": "SABRINA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.