Individual provider Active NPI

James J Dukelow, DPM

  • Podiatrist
  • Dixon, IL
National Provider Identifier
1336136944
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004431 Issued in IL
Practice address
716 N Galena Ave
Dixon, IL 61021-1510
Phone
(815) 284-2023
Fax
(630) 897-6851
NPI assigned
Sep 29, 2005
Last updated
Jul 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004431 IL Primary

Addresses

Primary practice location

716 N Galena Ave
Dixon, IL 61021-1510

Mailing address

716 N Galena Ave
Dixon, IL 61021-1510
Phone (815) 281-2023

Other identifiers 5

IdentifierTypeStateIssuer
05232002OtherILBCBS
016004431MedicaidIL
09821954OtherILBCBS
480034399OtherILRAIL ROAD MEDICARE
P00153306OtherILRAIL ROAD MEDICARE

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
I20040908000618 IL Practitioner - Podiatry 3971579236 Practice locations: Sterling, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2522 E Lincolnway
Suite G
Sterling, IL 61081-3058
Phone (815) 626-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evanston Podiatry Center Podiatrist Past Accepting new patients
Thomas a Runne DPM LTD Podiatrist Past Accepting new patients
Orland Podiatry Center, LLC Podiatrist Past Accepting new patients
CGH Medical Center Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1336136944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211510",
            "telephone_number": "815-281-2023",
            "fax_number": "630-897-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211510",
            "telephone_number": "815-284-2023",
            "fax_number": "630-897-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKELOW",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05232002",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004431",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09821954",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "480034399",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00153306",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

Verify at the official NPI Registry.