Active NPI
Jacob M Richey, DPM
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016005679
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 75.37
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 257 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Erie Family Health Center, Inc | Current | Accepting new patients | |
| Affiliated Podiatrists, LTD. | Foot & Ankle Surgery | Current | Accepting new patients |
| Erie Family Health Center Inc. | Current | 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
- https://fhir-myrecord.cerner.com/r4/yNokLJokA2wmiV0j4EDnXS-uMoIhGKVB/
- jacob.richey@apl-il.direct.office.nextgen.com
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
- NPI 1023002896
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1760499545
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1548062318
-
dba Erie Amundsen School Base Health Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1164713129
-
- Physical Therapist
- Roselle, IL
- NPI 1629249917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.