Grace Victoria David, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004708 Issued in IL

Practice address

1079 South Myrtle Avenue
Kankakee, IL 60901-5457

Phone

(815) 932-8161

Fax

(815) 932-8161

NPI assigned

Aug 30, 2006

Sex

Female

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 1

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• GVD Podiatry Healthcare PC

  • Podiatrist
  • Kankakee, IL
  • NPI 1023128121
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1467562561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 SOUTH MYRTLE AVENUE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609015457",
            "telephone_number": "815-932-8161",
            "fax_number": "815-932-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 SOUTH MYRTLE AVENUE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609015457",
            "telephone_number": "815-932-8161",
            "fax_number": "815-932-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "GRACE",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004708",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tashica Renee Cureton, RN
• Kristin Michelle Cyrier, NP-C
• Ebo Dadzie, PHARMD
• Kelly J Daly
• Aline V Dang, DO
• Kim Marie Davis
• Ddbhc Family Centered Treatment and Recovery Support Services
• David I. Decker
• Steven Decker, D.O.
• Samuel G Deguzman, MD

• Podiatrist in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.