Organization Active NPI

Total Foot and Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Melrose Park, IL
National Provider Identifier
1245970417
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
TOTAL FOOT AND ANKLE PLLC
Practice address
1111 Superior St Ste 405
Melrose Park, IL 60160-4138
Phone
(773) 729-2329
NPI assigned
Mar 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Stephanie AtoyebiNPI 1548826571
Title
Ceo
Phone
(773) 729-2329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1111 Superior St Ste 405
Melrose Park, IL 60160-4138

Mailing address

4149 S Cottage Grove
411
Chicago, IL 60653
Phone (773) 729-2329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220427001735 IL Part B Supplier - Clinic/Group Practice 7214324987 Receives reassigned benefits from 2 practitioners
Practice locations: Melrose Park, IL
O20250108001661 IL DME Supplier - Physician - Podiatry 7214324987 Practice locations: Melrose Park, IL

National Provider Directory

National Provider Directory

Locations

7627 Lake St
Ste 201
River Forest, IL 60305
Phone (708) 689-0473

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26273/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1245970417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 S COTTAGE GROVE",
            "address_2": "411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60653",
            "telephone_number": "773-729-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST STE 405",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "773-729-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "ATOYEBI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-729-2329"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.