Individual provider Active NPI

Sharif M Denden

  • Foot & Ankle Surgery Podiatrist
  • Evergreen Park, IL
National Provider Identifier
1578093795
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
135.000976 Issued in IL
Practice address
10002 S Kedzie Ave
Evergreen Park, IL 60805-3420
Phone
(847) 390-7666
Fax
(847) 390-9345
NPI assigned
Jun 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 135.000976 IL Primary

Addresses

Primary practice location

10002 S Kedzie Ave
Evergreen Park, IL 60805-3420

Mailing address

1660 Feehanville Dr Ste 450
Mount Prospect, IL 60056-6023
Phone (847) 390-7666

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sdenden@weil.emadirect.md Direct
Direct Messaging Address sdenden241947@direct.myadvocateaurora.org Direct

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
I20200528003035 IL Practitioner - Podiatry 6103197199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weil Foot and Ankle Institute LLCGroup PAC ID 4587655105, 56 clinicians

Practice addresses (Care Compare)

1516 E 87TH St
Chicago, IL 60619-6525
Phone (847) 390-7666

Hospital & facility affiliations

  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063

Merit-based Incentive Payment System (MIPS)

Final score
74.36 of 100Reported as individual
Quality
39.49
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue103
Removal of skin lesions1-10
Removal of nail tissue292
Removal or shaving of skin growth182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135.000976ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Foot and Ankle Institute LLC Current Accepting new patients
Weil Foot and Ankle Institute LLC Foot & Ankle Surgery CurrentSince Jun 1, 2020 Accepting new patients
Weil Foot and Ankle Institute LLC Foot & Ankle Surgery CurrentSince Jun 1, 2020 Accepting new patients
Weil Foot & Ankle Institute Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 203
Bannockburn, IL 60015
Phone 8473907666 ext. 6239

10801 S Western Ave
Ste 200
Chicago, IL 60643
Phone (773) 445-3964

1516 E 87th St
Chicago, IL 60619
Phone (773) 375-7106

1645 W Jackson Blvd
Ste 310
Chicago, IL 60612
Phone (312) 850-7798

10002 S Kedzie Ave
Evergreen Pk, IL 60805
Phone (708) 422-4300

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924

610 S Maple Ave
Ste 2550
Oak Park, IL 60304
Phone (708) 660-6100

Interoperability endpoints

  • Direct secure messaging: sdenden241947@direct.myadvocateaurora.org

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.

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1578093795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-390-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10002 S KEDZIE AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053420",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENDEN",
        "first_name": "SHARIF",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "135.000976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdenden@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10002 S Kedzie Ave",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608053420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdenden241947@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "APP PHO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10002 S Kedzie Ave",
            "city": "Evergreen Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608053420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.