Individual provider Active NPI

Magdalena Marcinek, DPM

  • Podiatrist
  • Addison, IL
National Provider Identifier
1235519075
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00346100 Issued in NJ
Practice address
731 N Rumple LN
Addison, IL 60101-1724
Phone
(630) 935-2815
NPI assigned
Jun 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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 25MD00346100 NJ Primary

Addresses

Primary practice location

731 N Rumple LN
Addison, IL 60101-1724

Mailing address

731 N Rumple LN
Addison, IL 60101-1724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200320000454 IN Practitioner - Podiatry 2365782976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western University of Health Sciences College of Dental Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Associated Physicians Clinic, LLCGroup PAC ID 3375687437, 230 clinicians

Practice addresses (Care Compare)

1725 N 5TH St
Apands Clinic Bone and Joint Center
Terre Haute, IN 47804-4010
Phone (812) 242-3005

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue72
Removal of skin lesions1-10
Removal of nail tissue459
Removal or shaving of skin growth64
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic, LLC CurrentSince Mar 16, 2020 Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Mar 16, 2020 Accepting new patients
Union Hospital Inc. Current Accepting new patients

Locations

801 S Main St
#200
Clinton, IN 47842

801 S Main St
Ste 200
Clinton, IN 47842

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1725 N 5th St
Terre Haute, IN 47804
Phone (812) 232-6646

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: mmarcinek@unionhealth.cernerdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1433635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1235519075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N RUMPLE LN",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N RUMPLE LN",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011724",
            "telephone_number": "630-935-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINEK",
        "first_name": "MAGDALENA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-07",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00346100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.