Individual provider Active NPI

Lee R Stein, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1427098318
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004996 Issued in IL
Practice address
2623 N Halsted St
Chicago, IL 60614-2393
Phone
(773) 477-3668
Fax
(773) 871-1244
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016004996 IL Primary

Addresses

Primary practice location

2623 N Halsted St
Chicago, IL 60614-2393

Mailing address

2623 N Halsted St
Chicago, IL 60614-2393
Phone (773) 477-3668

Other identifiers 3

IdentifierTypeStateIssuer
480035139OtherILRAILROAD MEDICARE
016004996MedicaidIL
01627920OtherILBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060309000009 IL Practitioner - Podiatry 6103833660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2623 N Halsted St
Chicago, IL 60614-2393
Phone (773) 477-3668

806 Central Ave
Highland Park, IL 60035-5613
Phone (847) 432-6400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of nail tissue71
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Shore Foot & Ankle PC Foot & Ankle Surgery CurrentSince Oct 1, 2001 Accepting new patients
Lake Shore Foot & Ankle, PC Foot & Ankle Surgery CurrentSince Jan 1, 2005 Accepting new patients

Locations

806 Central Ave
Ste 103
Highland Park, IL 60035
Phone (847) 433-4409

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15341/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lee.stein.1@15341.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1427098318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142393",
            "telephone_number": "773-477-3668",
            "fax_number": "773-871-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142393",
            "telephone_number": "773-477-3668",
            "fax_number": "773-871-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "LEE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480035139",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004996",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01627920",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.