Individual provider Active NPI

Samantha Sklar, D.P.M.

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1619238144
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
S46078186928 Issued in IL
Practice address
1226 W Taylor St
Chicago, IL 60607-4709
Phone
(312) 243-3769
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X S46078186928 IL Primary

Addresses

Primary practice location

1226 W Taylor St
Chicago, IL 60607-4709

Mailing address

24 Clarington Way
North Barrington, IL 60010-6932

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
I20150625000192 IL Practitioner - Podiatry 7810208303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Foot First Podiatry Centers, V.P.C.Group PAC ID 0941194435, 3 clinicians

Practice addresses (Care Compare)

1601 W Wise Rd
Schaumburg, IL 60193-3554
Phone (847) 352-9221

1601 Wise Rd
Schaumburg, IL 60193-3554

2425 W 22ND St
Suite 201
Oak Brook, IL 60523-4650
Phone (847) 352-9221

30 S Michigan Ave
Suite 302
Chicago, IL 60603-3225
Phone (312) 372-3117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S46078186928ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Foot First Podiatry Centers VPC Past Accepting new patients

Organizations & group practices 2

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1619238144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CLARINGTON WAY",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074709",
            "telephone_number": "312-243-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLAR",
        "first_name": "SAMANTHA",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "S46078186928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.