Active NPI
Nitet Charo, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Chicago Heights, IL
National Provider Identifier
1245429802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016004955
- Practice address
- 30 E 15TH St
#206
Chicago Heights, IL 60411-3459 - Phone
- (708) 755-7871
- Fax
- (708) 756-3263
- NPI assigned
- Oct 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016004955 | IL | Primary |
Addresses
Primary practice location
30 E 15TH St
#206
Chicago Heights, IL 60411-3459
Mailing address
30 E 15TH St
#206
Chicago Heights, IL 60411-3459
Phone (708) 755-7871
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016004955 | Medicaid | IL | |
| 01625973 | Other | IL | BLUE CROSS BLUE SHIELD OF ILLINOIS |
| 480030086 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016004955 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nitet Charo, DPM | Foot & Ankle Surgery | Past | Accepting new patients |
| Keystone Orthopedic Specialists S C | Past | Accepting new patients |
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.
-
- Foot & Ankle Surgery Podiatrist
- Chicago Heights, IL
- NPI 1326194598
-
- Orthopaedic Surgery Physician
- Hazel Crest, IL
- NPI 1528020559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1245429802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E 15TH ST",
"address_2": "#206",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604113459",
"telephone_number": "708-755-7871",
"fax_number": "708-756-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E 15TH ST",
"address_2": "#206",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604113459",
"telephone_number": "708-755-7871",
"fax_number": "708-756-3263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARO",
"first_name": "NITET",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-19",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016004955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004955",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
"identifier": "01625973",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480030086",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.