Elmhurst Foot & Ankle Center Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ELMHURST FOOT & ANKLE CENTER INC

Practice address

183 W 1St St
Elmhurst, IL 60126-2815

Phone

(630) 530-3338

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Deep N Shah, DPM, MBANPI 1164985883

Title

Co-Owner

Phone

(518) 330-7689

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deep N Shah, DPM, MBA

  • Foot & Ankle Surgery Podiatrist
  • Elmhurst, IL
  • NPI 1164985883
  Medicare reassignment Care Compare group NPD Authorized official
• Vsevolod Grinberg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Elmhurst, IL
  • NPI 1881255917
  Medicare reassignment Care Compare group NPD
• Gregory M Jansyn, DPM

  • Primary Podiatric Medicine Podiatrist
  • Bloomingdale, IL
  • NPI 1639250632
  Medicare reassignment Care Compare group NPD
• Batool H Musvi, M.D.

  • Specialist
  • Schaumburg, IL
  • NPI 1124069513
  NPD (past)
• John Andrew Yuhas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Saint Charles, IL
  • NPI 1295186856
  NPD (past)

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1598508186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 W 1ST ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262815",
            "telephone_number": "630-530-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 W 1ST ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262815",
            "telephone_number": "630-530-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 E Schaumburg Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601945156",
            "country_code": "US",
            "telephone_number": "630-530-3338",
            "fax_number": "949-703-7496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELMHURST FOOT & ANKLE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DEEP",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "518-330-7689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmhurst Dermatology PC
• Elmhurst Extended Care Center
• Elmhurst Eye Care
• Elmhurst Eye Surgery Center
• Elmhurst Family Dental
• Elmhurst Medical & Surgical Center Corporation
• Elmhurst Medical Associates, S.C.
• Elmhurst Medical Physicians, SC
• Elmhurst Medsurge LTD
• Elmhurst Memorial Affiliated Primary Care Physicians, LLC

• Foot & Ankle Surgery Podiatrist in Elmhurst, IL
• Providers in Elmhurst, 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 Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.