Jacob D Tilsley, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016006012 Issued in IL

Practice address

5215 N California Ave Ste F605
Chicago, IL 60625-8564

Phone

(847) 390-7666

Fax

(847) 390-9345

NPI assigned

Jun 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Weil Foot and Ankle Institute LLCGroup PAC ID 4587655105, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtilsley@weil.emadirect.md

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.

• Weil Foot and Ankle Institute LLC

  • Foot & Ankle Surgery Podiatrist
  • Mount Prospect, IL
  • NPI 1710965314
  Medicare reassignment Care Compare group NPD
• Weil Foot and Ankle Institute LLC

  • Clinical Medical Laboratory
  • Mount Prospect, IL
  • NPI 1154942837
  NPD
• Weil Foot and Ankle Institute LLC

  • Podiatrist
  • Chicago, IL
  • NPI 1992678312

  Foot & Ankle Surgery

  NPD
• Midwest Podiatry Services LTD

  dba Weil Foot and Ankle Institute LLC

  • Foot & Ankle Surgery Podiatrist
  • Oak Park, IL
  • NPI 1679693865
  NPD (past)
• Weil Foot & Ankle Institute

  • Foot Surgery Podiatrist
  • Des Plaines, IL
  • NPI 1821097262
  NPD (past)

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

• Advocate North Side Health Network

  dba Advocate Illinois Masonic Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1912014564
  Care Compare affiliation

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1316563612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-390-7666",
            "fax_number": "224-220-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE STE F605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606258564",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Halsted St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575196",
            "country_code": "US",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILSLEY",
        "first_name": "JACOB",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016006012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016006012",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://balancehealth.com/provider/jacob-tilsley-dpm/weil-foot-and-ankle-institute/",
            "affiliation": "Y",
            "affiliationName": "Weil Foot and Ankle Institute LLC",
            "address_1": "3000 N Halsted St Ste 700",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606575196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob.tilsley@weil4feet.com",
            "affiliation": "Y",
            "affiliationName": "Weil Foot and Ankle Institute LLC",
            "address_1": "1660 Feehanville Dr Ste 100",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://balancehealth.com/provider/jacob-tilsley-dpm/weil-foot-and-ankle-institute/",
            "affiliation": "Y",
            "affiliationName": "Weil Foot and Ankle Institute LLC",
            "address_1": "5215 N California Ave Ste F605",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606258564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Nicole Tillman, CNM
• Tara Arianne Tillman, MSW, LCSW
• Melisa Lynn Tillner, DDS
• Kimberly Jo Tillotson-McManus, LCSW
• Tilmans Community Health Clinic, Inc
• Justine Andrea Tilson, PT, DPT
• Annemarie Kollitz Tilton, MD
• Jessica Joan Tilton, PHARM.D
• Tracy Lynn Tilton, PH.D.
• Tim Heilizer SC Corp

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.