Individual provider Active NPI

Albert Gregory Nachowicz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Urbana, IL
National Provider Identifier
1619973021
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Practice address
2406 E University Ave
Ste 1
Urbana, IL 61802-6204
Phone
(217) 384-2071
Fax
(217) 384-2095
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 IL Primary

Addresses

Primary practice location

2406 E University Ave
Ste 1
Urbana, IL 61802-6204

Mailing address

2406 E University Ave
Ste 1
Urbana, IL 61802-6204
Phone (217) 384-2071

Other identifiers 2

IdentifierTypeStateIssuer
4596880001OtherADMINASTAR MED B DME
0001032008OtherILBC/BS OF ILLINOIS

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
I20160302001748 IL Order and Referring Only - PodiatryPractitioner - Podiatry 7618147943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004588ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619973021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 E UNIVERSITY AVE",
            "address_2": "STE 1",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618026204",
            "telephone_number": "217-384-2071",
            "fax_number": "217-384-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 E UNIVERSITY AVE",
            "address_2": "STE 1",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618026204",
            "telephone_number": "217-384-2071",
            "fax_number": "217-384-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHOWICZ",
        "first_name": "ALBERT",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINASTAR MED B DME",
            "identifier": "4596880001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ILLINOIS",
            "identifier": "0001032008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.