Individual provider Active NPI

Jeffery H Alexander, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1407844210
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005085 Issued in IL
Practice address
1611 W Harrison St Ste 510
Chicago, IL 60612-4861
Phone
(847) 390-7666
Fax
(847) 390-9345
NPI assigned
Oct 6, 2005
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005085 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 016005085 IL Primary

Addresses

Primary practice location

1611 W Harrison St Ste 510
Chicago, IL 60612-4861

Mailing address

1660 Feehanville Dr Ste 450
Mt Prospect, IL 60056-6023
Phone (847) 390-7666

Other practice location 1

1300 Waukegan Rd
Glenview, IL 60025-3022
Phone (847) 390-7666 ext. 6205

Other practice location 2

610 S Maple Ave
Suite 2550
Oak Park, IL 60304-2807
Phone (708) 660-6100

Other identifiers 1

IdentifierTypeStateIssuer
016005085MedicaidIL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jha@weil.emadirect.md Direct
Direct Messaging Address jha@weil.emadirect.md Direct
Direct Messaging Address jha@weil.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040820000970 IL Practitioner - Podiatry 0143294645 Reassigns benefits to 2 organizations
I20240321003427 WI Practitioner - Podiatry 0143294645 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
Group practices
Foot and Ankle Center of Illinois PCGroup PAC ID 9638347586, 3 clinicians

Practice addresses (Care Compare)

Lake Geneva, WI 53147
Phone (888) 968-6388

113 W Main St
Cary, IL 60013-2718
Phone (847) 639-5800

125 E Central Rd
Arlington Heights, IL 60005-2649
Phone (847) 639-5800

1288 S US Hwy 12
Fox Lake, IL 60020-1950
Phone (847) 639-5800

2921 Montvale Dr
Springfield, IL 62704-5359
Phone (217) 787-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue230
Removal of skin lesions1-10
Removal of nail tissue283
Removal or shaving of skin growth116
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005085ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
DMW Healthcare Solutions Podiatrist CurrentSince May 20, 2024 Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Podiatrist CurrentSince Jul 23, 2024 Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince Jul 23, 2024 Accepting new patients
Lakeview Health, LLC CurrentSince Jan 6, 2024 Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Podiatrist Current Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Past Accepting new patients

Locations

125 E Central Rd
Arlington Hts, IL 60005
Phone (847) 255-0330

113 W Main St
Cary, IL 60013
Phone (708) 639-5800

7447 W Talcott Ave
Ste 214
Chicago, IL 60631
Phone (773) 594-9700

750 E Terra Cotta Ave
Ste A
Crystal Lake, IL 60014
Phone (815) 455-1800

750 E Terra Cotta Ave
Ste C
Crystal Lake, IL 60014
Phone (815) 455-0800

1288 S US Highway 12
Fox Lake, IL 60020

7619 Sheridan Rd
Kenosha, WI 53143
Phone (262) 208-4550

772 W Main St
Ste 205
Lake Geneva, WI 53147
Phone (888) 968-6388

800 Goold St
Racine, WI 53402
Phone (262) 456-2182

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1407844210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W HARRISON ST STE 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124861",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600253022",
            "country_code": "US",
            "telephone_number": "847-390-7666 x6205",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 S Maple Ave",
            "address_2": "Suite 2550",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603042807",
            "country_code": "US",
            "telephone_number": "708-660-6100",
            "fax_number": "708-660-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JEFFERY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005085",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005085",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jha@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1300 Waukegan Rd",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600253022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jha@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1611 W Harrison St Ste 510",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606124861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jha@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "610 S Maple Ave",
            "address_2": "Suite 2550",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603042807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.