Individual provider Active NPI

Jacob Valabov, DPM

  • Primary Podiatric Medicine Podiatrist
  • Mount Pleasant, WI
National Provider Identifier
1487051371
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1082-25 Issued in WI
Practice address
737 Hunter Dr
Mount Pleasant, WI 53406-4067
Phone
(847) 504-5000
Fax
(847) 504-5015
NPI assigned
Nov 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1082-25 WI
Podiatrist 213E00000X 1006 MN
Primary Podiatric Medicine Podiatrist 213EP1101X 1082-25 WI Primary

Addresses

Primary practice location

737 Hunter Dr
Mount Pleasant, WI 53406-4067

Mailing address

PO Box 917
Northbrook, IL 60065-0917
Phone (847) 504-5000

Other identifiers 2

IdentifierTypeStateIssuer
P01683970OtherWIRAILROAD MEDICARE
1487051371MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 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
I20160629002109 WI Practitioner - Podiatry 0547551137 Reassigns benefits to 2 organizations
I20190411001103 MN Practitioner - Podiatry 0547551137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PC 131 clinicians

Practice addresses (Care Compare)

1 Thompson Ave W
West Saint Paul, MN 55118-3100
Phone (651) 259-2474

112 Peace Lutheran Pkwy
Hartford, WI 53027-1159
Phone (262) 397-8790

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions1-10
Removal of nail tissue2987
Removal or shaving of skin growth1372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1006MNMDPodiatrist
1082-25WIMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Podiatrist CurrentSince Jul 19, 2016 Accepting new patients
Alliance Foot & Ankle Clinics LLC Podiatrist CurrentSince Nov 8, 2024 Accepting new patients
Alliance Foot & Ankle Clinics LLC Podiatrist CurrentSince Nov 8, 2024 Accepting new patients
Alliance Foot and Ankle Clinics, LLC Past Accepting new patients

Locations

425 Huehl Rd
#13
Northbrook, IL 60062
Phone (847) 504-5007

101 S Hill St
La Crescent, MN 55947
Phone (507) 895-4445

501 8th Ave SE
Rochester, MN 55904
Phone (347) 461-8204

6123 Green Bay Rd
Ste 260
Kenosha, WI 53142
Phone (262) 731-0077

8301 Old Sauk Rd
Middleton, WI 53562
Phone (608) 662-8842

6510 W Layton Ave
Ste 102
Milwaukee, WI 53220
Phone (414) 282-7209

Organizations & group practices 4

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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1487051371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600650917",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 HUNTER DR",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064067",
            "telephone_number": "847-504-5000",
            "fax_number": "847-504-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALABOV",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1082-25",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "1006",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WI",
            "license": "1082-25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01683970",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487051371",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.