Organization Active NPI

Foot and Ankle Specialists, PC

  • Foot & Ankle Surgery Podiatrist
  • Plainfield, IL
National Provider Identifier
1386854610
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004798 Issued in IL
Legal business name
FOOT AND ANKLE SPECIALISTS, PC
Practice address
24039 W Lockport St
Plainfield, IL 60544-1652
Phone
(815) 254-3338
Fax
(815) 436-8367
NPI assigned
May 23, 2007
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Dr. Praveen Vohra, DPMNPI 1437113461
Title
DPM
Phone
(815) 254-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016004798 IL Primary

Addresses

Primary practice location

24039 W Lockport St
Plainfield, IL 60544-1652

Mailing address

24039 W Lockport St
Plainfield, IL 60544-1652
Phone (815) 254-3338

Other identifiers 2

IdentifierTypeStateIssuer
009908116OtherILBCBS PROVIDER LEGACY ID
480023719OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121008000337 IL Part B Supplier - Clinic/Group Practice 1759402068 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL; Plainfield, IL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3598/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1386854610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24039 W LOCKPORT ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441652",
            "telephone_number": "815-254-3338",
            "fax_number": "815-436-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24039 W LOCKPORT ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441652",
            "telephone_number": "815-254-3338",
            "fax_number": "815-436-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "VOHRA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "815-254-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER LEGACY ID",
            "identifier": "009908116",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480023719",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.