Active NPI
Jacob Valabov, DPM
- Primary Podiatric Medicine Podiatrist
- Mount Pleasant, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 1082-25
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01683970 | Other | WI | RAILROAD MEDICARE |
| 1487051371 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 72.99
- Improvement activities
- 40
- Cost
- 75.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 25 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2987 |
| Removal or shaving of skin growth | 1372 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1006 | MN | MD | Podiatrist |
| 1082-25 | WI | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Podiatry Group PC | Podiatrist | Current | Accepting new patients |
| Alliance Foot & Ankle Clinics LLC | Podiatrist | Current | Accepting new patients |
| Alliance Foot & Ankle Clinics LLC | Podiatrist | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Greenfield, WI
- NPI 1811306434
Podiatrist, WI
-
- Foot & Ankle Surgery Podiatrist
- Zion, IL
- NPI 1366995136
Podiatrist
-
- Podiatric Clinic/Center
- Kenosha, WI
- NPI 1205605631
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.