Phillip David Narcissi, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016004628 Issued in IL

Practice address

19841 Wolf Rd
Mokena, IL 60448

Phone

(708) 479-0790

Fax

(708) 479-0792

NPI assigned

Mar 27, 2006

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 2

Electronic endpoints 2

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phillip D. Narcissi DPM S.C.Group PAC ID 4183766868, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDECBA
• Direct secure messaging: pnarcissi276171@direct.myadvocateaurora.org
• FHIR API: https://fhir4.healow.com/fhir/r4/JDECBA/Endpoint/JDECBA

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.

• Phillip D. Narcissi DPM S.C.

  dba Mokena Foot and Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Mokena, IL
  • NPI 1588830913
  Medicare reassignment Care Compare group NPD Authorized official
• Mokena Foot &Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Mokena, IL
  • NPI 1508049826
  NPD (past) Authorized official
• Southwest Surgery Center, LLC

  dba Center for Minimally Invasive Surgery

  • Clinic/Center
  • Mokena, IL
  • NPI 1598700841
  NPD
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Presence Service Corporation

  dba Presence Medical Group

  • Family Medicine Physician
  • Bolingbrook, IL
  • NPI 1831204536
  NPD (past)

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

• Advocate Health and Hospitals Corporation

  dba Advocate South Suburban Hospital

  • General Acute Care Hospital
  • Hazel Crest, IL
  • NPI 1467560128
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  dba Advocate South Suburban Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1558479212
  Care Compare affiliation

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1407816093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19841 WOLF ROAD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "60448",
            "telephone_number": "708-479-0790",
            "fax_number": "708-479-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19841 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "60448",
            "telephone_number": "708-479-0790",
            "fax_number": "708-479-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARCISSI",
        "first_name": "PHILLIP",
        "middle_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09904776",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480035160",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "19841 Wolf Rd",
            "city": "Mokena",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pnarcissi276171@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19841 Wolf Rd",
            "city": "Mokena",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shonnie M Murphy, RN
• Susan Lee Murphy
• Lauren Marie Murray, ACNPC-AG
• Anjali Mutholam, M.S., CF-SLP
• Jennifer L Nabong, APN, FNP
• Stephanie Nash, LCSW
• Carlos Alberto Natera Garcia, SA-C
• New Normal Psychiatry & Wellness PLLC
• Adrian Nica, M.D.
• Glen John Nisivoccia, D C

• Foot & Ankle Surgery Podiatrist in Mokena, IL
• Providers in Mokena, 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 Dec 23, 2021; 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.