Active NPI
Steven Gelsomino, DPM
- Podiatrist
- Oak Lawn, IL
National Provider Identifier
1376618900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016003252
- Practice address
- 4700 W 95TH St Ste 306
Oak Lawn, IL 60453-2572 - Phone
- (708) 424-3334
- Fax
- (708) 430-4423
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016003252 | IL | Primary |
Addresses
Primary practice location
4700 W 95TH St Ste 306
Oak Lawn, IL 60453-2572
Mailing address
4700 W 95TH St Ste 306
Oak Lawn, IL 60453-2572
Phone (708) 424-3334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016003252 | Medicaid | IL |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgelsomino255361@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | sgelsomino255361@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2 |
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4700 W 95TH St
Suite 306
Oak Lawn, IL 60453-2572
Phone (708) 424-3334
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 365 |
| Removal of nail tissue | 1153 |
| Removal or shaving of skin growth | 542 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Care Consultants | Podiatrist | Current | Accepting new patients |
| Podiatric Management Systems LLC | Past | Accepting new patients | |
| Podiatric Management Systems LLC | Podiatrist | Past | Accepting new patients |
Locations
5511 W Montrose Ave
Chicago, IL 60641
Phone (773) 283-6200
Interoperability endpoints
- sgelsomino255361@direct.myadvocateaurora.org
Organizations & group practices 3
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.
-
- Podiatrist
- Chicago, IL
- NPI 1689736985
-
- Primary Podiatric Medicine Podiatrist
- Lake Zurich, IL
- NPI 1396968053
-
- Podiatrist
- Wheeling, IL
- NPI 1972119360
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1376618900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 W 95TH ST STE 306",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532572",
"telephone_number": "708-424-3334",
"fax_number": "708-430-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 W 95TH ST STE 306",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532572",
"telephone_number": "708-424-3334",
"fax_number": "708-430-4423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELSOMINO",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016003252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016003252",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sgelsomino255361@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6700 W 95th St",
"address_2": "Suite 260",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532106",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "6700 W 95th St",
"address_2": "Suite 260",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532106",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sgelsomino255361@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4700 W 95th St Ste 306",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532572",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2",
"affiliation": "N",
"address_1": "4700 W 95th St Ste 306",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532572",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.