Individual provider Active NPI

Yelena Boumendjel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Schaumburg, IL
National Provider Identifier
1255684635
Registry record updated May 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005491 Issued in IL
Practice address
1025 W Wise Rd Ste 100
Schaumburg, IL 60193-3746
Phone
(224) 653-9287
Fax
(630) 635-2260
NPI assigned
Oct 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 016005491 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 016005491 IL Primary

Addresses

Primary practice location

1025 W Wise Rd Ste 100
Schaumburg, IL 60193-3746

Mailing address

1025 W Wise Rd Ste 100
Schaumburg, IL 60193-3746
Phone (224) 653-9287

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
I20130620000408 IL Practitioner - Podiatry 4284873324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1025 W Wise Rd
Suite 100
Schaumburg, IL 60193-3746
Phone (224) 653-2260

Hospital & facility affiliations

  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62
Removal of nail tissue85
Removal or shaving of skin growth30
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005491ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yelena Boumendjel, DPM, LLC Primary Podiatric Medicine CurrentSince Jun 3, 2022 Accepting new patients

Locations

1025 W Wise Rd
Ste 100
Schaumburg, IL 60193
Phone (224) 653-2260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBDHCD/Endpoint/DBDHCD

Organizations & group practices 1

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": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651968000000",
    "number": "1255684635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W WISE RD STE 100",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933746",
            "telephone_number": "224-653-9287",
            "fax_number": "630-635-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W WISE RD STE 100",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933746",
            "telephone_number": "224-653-9287",
            "fax_number": "630-635-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUMENDJEL",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016005491",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.