Individual provider Active NPI

Lashawn Freeman, DPM

  • Podiatrist
  • Gary, IN
National Provider Identifier
1386685139
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005098 Issued in IL
Practice address
650 Grant St
Suite 4
Gary, IN 46404-1533
Phone
(219) 882-2000
Fax
(219) 881-2836
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005098 IL Primary

Addresses

Primary practice location

650 Grant St
Suite 4
Gary, IN 46404-1533

Mailing address

PO Box 19468
Chicago, IL 60619-0468
Phone (773) 363-5523

Other identifiers 5

IdentifierTypeStateIssuer
N375966OtherILHARMONY HEALTH
016005098MedicaidIL
200901880AMedicaidIN
P00243631OtherILRAILROAD MEDICARE
0001633214OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070424000609 IN Practitioner - Podiatry 1153310123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 E 5TH Ave
Suite a
Gary, IN 46402-1300
Phone (219) 882-2000

7250 Arthur Blvd
Merrillville, IN 46410-3766
Phone (219) 882-2000

8710 Broadway
Merrillville, IN 46410-7035
Phone (219) 882-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue334
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005098ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lashawn D Freeman DPM SC CurrentSince Jul 8, 2006 Accepting new patients
Lashawn D Freeman, DPM SC CurrentSince Oct 29, 2003 Accepting new patients

Locations

1525 E 53rd St
Ste 816
Chicago, IL 60615
Phone (773) 363-5523

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

201 E 5th Ave
Ste A
Gary, IN 46402
Phone (219) 882-2000

1212 N Broad St
Griffith, IN 46319
Phone (219) 838-1270

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1386685139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19468",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606190468",
            "telephone_number": "773-363-5523",
            "fax_number": "773-363-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 GRANT ST",
            "address_2": "SUITE 4",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464041533",
            "telephone_number": "219-882-2000",
            "fax_number": "219-881-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "LASHAWN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTH",
            "identifier": "N375966",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005098",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200901880A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00243631",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001633214",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.