Individual provider Active NPI

Benish Ali, DPM

  • Foot & Ankle Surgery Podiatrist
  • Aurora, IL
National Provider Identifier
1457551830
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005955 Issued in IL
Practice address
2124 Ogden Ave Ste 101
Aurora, IL 60504-7542
Phone
(630) 585-8087
NPI assigned
Jul 23, 2007
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000828 CT
Foot & Ankle Surgery Podiatrist 213ES0103X 016005955 IL Primary

Addresses

Primary practice location

2124 Ogden Ave Ste 101
Aurora, IL 60504-7542

Mailing address

2124 Ogden Ave Ste 101
Aurora, IL 60504-7542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, IL2 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
I20170823003732 CT Practitioner - Podiatry 7517239643 Reassigns benefits to 2 organizations
I20220616002197 IL Practitioner - Podiatry 7517239643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Podiatry CenterGroup PAC ID 0749180636, 6 clinicians

Practice addresses (Care Compare)

2124 Ogden Ave
Suite 101
Aurora, IL 60504-7542
Phone (630) 585-8087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of skin lesions12
Removal of nail tissue1017
Removal or shaving of skin growth592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000828CTMDOptometrist
016005955ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 1, 2021 Accepting new patients
Northwest Podiatry Center Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Apr 1, 2018 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Apr 1, 2018 Accepting new patients
Northwest Podiatry Center CurrentSince Aug 1, 2022 Accepting new patients
Northwest Podiatry Center Past Accepting new patients

Locations

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

2124 Ogden Ave
Ste 101
Aurora, IL 60504
Phone (630) 585-8087

3254 Sycamore Rd
DeKalb, IL 60115
Phone (815) 756-9491

13312 Village Green Dr
Huntley, IL 60142
Phone (847) 515-2030

7954 W Oakton St
Niles, IL 60714
Phone (708) 823-5510

234 Randall Rd
South Elgin, IL 60177
Phone (847) 608-9494

31 S Sutton Rd
Streamwood, IL 60107
Phone (630) 830-2155

705 Warrenville Rd
Ste B
Wheaton, IL 60189
Phone (630) 668-8277

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.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1457551830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 OGDEN AVE STE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 OGDEN AVE STE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047542",
            "telephone_number": "630-585-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "BENISH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000828",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.