Dijana Mirkovic, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005663 Issued in IL

Practice address

5943 W Irving Park Rd
Chicago, IL 60634

Phone

(773) 282-6111

NPI assigned

May 13, 2014

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Podiatry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chicagoland Foot and Ankle, PCGroup PAC ID 9931116225, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chicagoland Foot and Ankle, PC

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1851302293
  Medicare reassignment Care Compare group NPD
• Podiatry at Your Door by Dr. Garcia, P.C.

  • Podiatrist
  • Mount Prospect, IL
  • NPI 1821576687
  Medicare reassignment NPD
• Chicagoland Foot and Ankle, PC

  • Foot & Ankle Surgery Podiatrist
  • Bartlett, IL
  • NPI 1447072210
  NPD
• Chicagoland Foot and Ankle, PC

  • Foot & Ankle Surgery Podiatrist
  • New Lenox, IL
  • NPI 1871970970
  NPD

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1588075584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552205",
            "telephone_number": "773-239-0702",
            "fax_number": "773-239-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5943 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60634",
            "telephone_number": "773-282-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3153 W 111th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606552205",
            "country_code": "US",
            "telephone_number": "773-239-0702",
            "fax_number": "773-239-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRKOVIC",
        "first_name": "DIJANA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC LICENSE NUMBER",
            "identifier": "016.005663",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PODIATRY CONTROLLED SUBSTANCE",
            "identifier": "316.002829",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moneer Miri
• Mirjam Quinn and Associates, LTD
• Sean M Mirk, PHARM.D.
• Elizabeth Mirkin, M.D.
• Evgeni Mirkin, MD
• Alex Mirman
• Raghavendra Mirmira
• Sanjiti Mirmire, MBBS
• Jessica Miro, LMFT
• Craig Miroballi, ED.S.

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.