Individual provider Active NPI

Jacob M Richey, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1477892917
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005679 Issued in IL
Practice address
4211 N Cicero Ave
Chicago, IL 60641-1651
Phone
(773) 202-8800
Fax
(773) 202-8810
NPI assigned
Feb 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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 016005679 IL Primary

Addresses

Primary practice location

4211 N Cicero Ave
Chicago, IL 60641-1651

Mailing address

4211 N Cicero Ave Suite 301
Chicago, IL 60641-1651
Phone (773) 202-8800

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
I20150819006661 IL Practitioner - Podiatry 9537474622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Podiatrists LTDGroup PAC ID 1153354832, 4 clinicians

Practice addresses (Care Compare)

6445 N Central Ave
Chicago, IL 60646-2901
Phone (773) 202-8800

Merit-based Incentive Payment System (MIPS)

Final score
88.7 of 100Reported as group
Quality
75.37
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue257
Removal of skin lesions1-10
Removal of nail tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Family Health Center Inc CurrentSince Jun 11, 2018 Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients
Affiliated Podiatrists, LTD. Foot & Ankle Surgery CurrentSince Jul 6, 2015 Accepting new patients
Erie Family Health Center Inc. CurrentSince Jun 11, 2018 Accepting new patients
Total Rehab PC Past Accepting new patients

Locations

6445 N Central Ave
Chicago, IL 60646
Phone (773) 202-8800

1504 S Albany Ave
Chicago, IL 60623

5215 N California Ave
Ste F700
Chicago, IL 60625

4211 N Cicero Ave
Ste 301
Chicago, IL 60641
Phone (630) 439-0009

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

6445 N Central Ave
#1
Chicago, IL 60646
Phone (773) 594-0225

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/yNokLJokA2wmiV0j4EDnXS-uMoIhGKVB/
  • Direct secure messaging: jacob.richey@apl-il.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1477892917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 N CICERO AVE SUITE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411651",
            "telephone_number": "773-202-8800",
            "fax_number": "773-202-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411651",
            "telephone_number": "773-202-8800",
            "fax_number": "773-202-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHEY",
        "first_name": "JACOB",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.