Individual provider Active NPI

Peter B Akerele, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1609874015
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016003216 Issued in IL
Practice address
2223 E 79TH St
Chicago, IL 60649-5016
Phone
(773) 978-2100
Fax
(773) 978-1568
NPI assigned
Jul 9, 2005
Last updated
Jan 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016003216 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 016003216 IL Primary

Addresses

Primary practice location

2223 E 79TH St
Chicago, IL 60649-5016

Mailing address

175 N Harbor Dr
Ste 3906
Chicago, IL 60601-7344
Phone (312) 961-6098

Other identifiers 1

IdentifierTypeStateIssuer
016003216MedicaidIL

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
I20060405000558 IL Practitioner - Podiatry 0648288431 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2223 E 79TH St
Chicago, IL 60649-5016
Phone (773) 978-7758

Merit-based Incentive Payment System (MIPS)

Final score
60 of 100Reported as individual
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue184
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Foot and Ankle Wellness Center LLC CurrentSince May 24, 2023 Accepting new patients
Ata Health Systems, Inc. Foot & Ankle Surgery Past Accepting new patients

Locations

2223 E 79th St
Chicago, IL 60649
Phone (773) 978-2100

Interoperability endpoints

  • Direct secure messaging: peterakerele@ssfaac-il.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1609874015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N HARBOR DR",
            "address_2": "STE 3906",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017344",
            "telephone_number": "312-961-6098",
            "fax_number": "773-978-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606495016",
            "telephone_number": "773-978-2100",
            "fax_number": "773-978-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKERELE",
        "first_name": "PETER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003216",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003216",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.