Individual provider Active NPI

David Brian Hiltzik, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Waukegan, IL
National Provider Identifier
1235238155
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-004380 Issued in IL
Practice address
1720 Grand Ave
Waukegan, IL 60085
Phone
(847) 336-3338
Fax
(847) 336-0683
NPI assigned
Sep 21, 2006
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 016-004380 IL Primary

Addresses

Primary practice location

1720 Grand Ave
Waukegan, IL 60085

Mailing address

1720 Grand Ave
Waukegan, IL 60085-3502
Phone (847) 336-3338

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
I20031205000335 IL Practitioner - Podiatry 9739084781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1720 Grand Ave
Waukegan, IL 60085-3502
Phone (847) 336-3338

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 tissue11
Removal of nail tissue1-10
Removal or shaving of skin growth577
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
016-004380ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
David B Hiltzik PC Foot & Ankle Surgery CurrentSince Jan 1, 1989 Accepting new patients
Podiatry Service of America Corp Foot & Ankle Surgery CurrentSince Jul 15, 2017 Accepting new patients
Aaa Foot & Ankle Associates Foot & Ankle Surgery Past Accepting new patients
Edgewater Beach Foot and Ankle Center, P.C. Past Accepting new patients

Locations

5501 W 79th St
Ste 400
Burbank, IL 60459

1720 Grand Ave
Waukegan, IL 60085
Phone (847) 336-3338

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1235238155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600853502",
            "telephone_number": "847-336-3338",
            "fax_number": "847-336-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-336-3338",
            "fax_number": "847-336-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILTZIK",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.