Individual provider Active NPI

Nicholas Parrilli, DPM

  • Podiatrist
  • Downers Grove, IL
National Provider Identifier
1558310904
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005231 Issued in IL
Practice address
1228 Ogden Ave
Downers Grove, IL 60515-2740
Phone
(630) 810-9966
Fax
(630) 810-9596
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005231 IL Primary
Podiatrist 213E00000X 07001088A IN

Addresses

Primary practice location

1228 Ogden Ave
Downers Grove, IL 60515-2740

Mailing address

1228 Ogden Ave
Downers Grove, IL 60515-2740
Phone (630) 810-9966

Other identifiers 3

IdentifierTypeStateIssuer
016005231MedicaidIL
09932699OtherILBLUE CROSS BLUE SHIELD
0732240001OtherDMERC # WITH PPG

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
I20051109000406 IL Practitioner - Podiatry 5294799771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Plaza Foot and Ankle SCGroup PAC ID 7315348919, 3 clinicians

Practice addresses (Care Compare)

1228 Ogden Ave
Downers Grove, IL 60515-2740
Phone (630) 810-9966

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.98 of 100Reported as individual
Quality
73.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue35
Removal of skin lesions518
Removal of nail tissue708
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005231ILMDPodiatrist
07001088AINMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Plaza Foot and Ankle SC CurrentSince May 15, 2021 Accepting new patients
Preferred Podiatry Group PC Podiatrist Past Accepting new patients
McDermott Podiatry of Joliet PC PastSince Dec 30, 2010 Accepting new patients

Locations

1228 Ogden Ave
Downers Grove, IL 60515
Phone (630) 810-9966

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1558310904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152740",
            "telephone_number": "630-810-9966",
            "fax_number": "630-810-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152740",
            "telephone_number": "630-810-9966",
            "fax_number": "630-810-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRILLI",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005231",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001088A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005231",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09932699",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC # WITH PPG",
            "identifier": "0732240001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.