Individual provider Active NPI

Vincent James Traverso, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lombard, IL
National Provider Identifier
1497982813
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005445 Issued in IL
Practice address
10 E 22ND St
Lombard, IL 60148-4977
Phone
(630) 953-8088
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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 016005445 IL Primary

Addresses

Primary practice location

10 E 22ND St
Lombard, IL 60148-4977

Mailing address

723 W 31St St
Chicago, IL 60616-3006
Phone (708) 785-7076

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
I20140613000015 IL Practitioner - Podiatry 6204050297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott a Zimmerman, DPM, LTD.Group PAC ID 3173624848, 2 clinicians
Baaltz Mobile Health Services IncGroup PAC ID 0244361459, 4 clinicians

Practice addresses (Care Compare)

10 E 22ND St
Suite 205
Lombard, IL 60148-6108
Phone (630) 953-8088

3059 W 26TH St
Chicago, IL 60623-4131
Phone (312) 243-3769

Hospital & facility affiliations

  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095

Merit-based Incentive Payment System (MIPS)

Final score
85.16 of 100Reported as individual
Quality
59.74
Promoting interoperability
91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue98
Removal of nail tissue1058
Removal or shaving of skin growth1017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005445ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a Zimmerman, D.P.M., LTD. Foot & Ankle Surgery CurrentSince Jun 1, 2014 Accepting new patients
Baaltz Mobile Health Services Inc Foot & Ankle Surgery CurrentSince Jun 1, 2014 Accepting new patients

Locations

1226 W Taylor St
Chicago, IL 60607
Phone (312) 243-3761

3059 W 26th St
Chicago, IL 60623
Phone (312) 243-3769

10 E 22nd St
Ste 205
Lombard, IL 60148
Phone (630) 953-8088

2 E 22nd St
Ste 110
Lombard, IL 60148
Phone (630) 376-3617

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1497982813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 W 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163006",
            "telephone_number": "708-785-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484977",
            "telephone_number": "630-953-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERSO",
        "first_name": "VINCENT",
        "middle_name": "JAMES",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.