Jaydienne Paulisa Cruz Fontejon, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016006055 Issued in IL

Practice address

10 E 22ND St Ste 205
Lombard, IL 60148-6108

Phone

(630) 953-8088

Fax

(630) 953-8094

NPI assigned

May 7, 2021

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scott a Zimmerman, DPM, LTD.Group PAC ID 3173624848, 2 clinicians

Baaltz Mobile Health Services IncGroup PAC ID 0244361459, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Scott a Zimmerman, D.P.M., LTD.

  • Podiatrist
  • Lombard, IL
  • NPI 1285837096
  Medicare reassignment Care Compare group NPD
• Baaltz Mobile Health Services Inc

  dba Walks

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1902131840
  Medicare reassignment Care Compare group
• Frank W Zappa,DPM,SC

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1871873794
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Anthony Hospital

  • General Acute Care Hospital
  • Cicero, IL
  • NPI 1184490062
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1194723999
  Care Compare affiliation
• Saint Anthony Hospital

  dba Saint Anthony Health Affiliates

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1538655949
  Care Compare affiliation
• Saint Anthony Hospital

  • Children's Hospital
  • Chicago, IL
  • NPI 1619456423
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1710877386
  Care Compare affiliation
• Saint Anthony Hospital

  dba SAH Pharmacy

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1790490563

  Hospital

  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1881363224
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1912397480
  Care Compare affiliation

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1225612096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST STE 205",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486108",
            "telephone_number": "630-953-8088",
            "fax_number": "630-953-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST STE 205",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486108",
            "telephone_number": "630-953-8088",
            "fax_number": "630-953-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTEJON",
        "first_name": "JAYDIENNE PAULISA",
        "middle_name": "CRUZ",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016006055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie J Floyd, PH.D.
• Meghan Flynn Colan, MS CCC-SLP
• Amy Flynt, LCSW
• Danny Fong, DDS
• Kelsey Fontano, LCPC
• For Eyes Optical of PA (For Eyes)
• For Eyes Optical of PA
• Laurent J Forcioli, D.D.S.
• Peggy Patricia Fornero, PTA
• Holly Joel Forsyth, LCSW

• Podiatrist in Lombard, IL
• Providers in Lombard, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.