Individual provider Active NPI

Alison Dawn Traffanstedt Young, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1225489172
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
135.000927 Issued in IL
Practice address
30 N Michigan Ave Ste 1129
Chicago, IL 60602-3478
Phone
(312) 372-0919
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 135.000927 IL Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 1129
Chicago, IL 60602-3478

Mailing address

30 N Michigan Ave Ste 1129
Chicago, IL 60602-3478
Phone (312) 372-0919

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
I20190716000527 IL Practitioner - Podiatry 3678834173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 1129
Chicago, IL 60602-3478
Phone (312) 372-0919

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions23
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135.000927ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Center, SC CurrentSince Aug 1, 2019 Accepting new patients
Young Foot and Ankle Current Accepting new patients

Locations

30 N Michigan Ave
Ste 1129
Chicago, IL 60602
Phone (312) 372-0919

424 75th St
Downers Grove, IL 60516
Phone (630) 515-0705

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1225489172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1129",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023478",
            "telephone_number": "312-372-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1129",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023478",
            "telephone_number": "312-372-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ALISON",
        "middle_name": "DAWN TRAFFANSTEDT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "135.000927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.