Individual provider Active NPI

Uzra Fatma

  • Podiatric Clinic/Center
  • Aurora, IL
National Provider Identifier
1285245100
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Practice address
2003 Montgomery Rd Ste 108109
Aurora, IL 60504-9078
Phone
(630) 401-8286
Fax
(630) 401-8648
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

2003 Montgomery Rd Ste 108109
Aurora, IL 60504-9078

Mailing address

17101 Arbor Creek Dr
Plainfield, IL 60586-5478
Phone (630) 550-1540

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address footspecialistillinois@direct.practicefusion.com Direct

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1285245100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17101 ARBOR CREEK DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865478",
            "telephone_number": "630-550-1540",
            "fax_number": "630-401-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MONTGOMERY RD STE 108109",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605049078",
            "telephone_number": "630-401-8286",
            "fax_number": "630-401-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATMA",
        "first_name": "UZRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "footspecialistillinois@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2003 Montgomery Rd Ste 108109",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605049078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.