Individual provider Active NPI

Frank Narcisi Jr., DPM

  • Podiatrist
  • Olympia Fields, IL
National Provider Identifier
1619983061
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-004111 Issued in IL
Practice address
20201 Crawford Ave
Suite 1400
Olympia Fields, IL 60461-1010
Phone
(708) 679-2310
Fax
(708) 503-4445
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-004111 IL Primary

Addresses

Primary practice location

20201 Crawford Ave
Suite 1400
Olympia Fields, IL 60461-1010

Mailing address

1040 Sierra Dr
Suite 400
Greenwood, IN 46143-7240
Phone (317) 528-4800

Other identifiers 3

IdentifierTypeStateIssuer
203979044OtherILMEDICARE PTAN
016004111MedicaidIL
1619159OtherILBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fnarcisi65679@Direct.FranciscanAlliance.org Direct

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
I20090626000410 IL Practitioner - Podiatry 0547332132 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Chicago Heights, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20201 S Crawford Ave
Suite 1400
Olympia Fields, IL 60461-1010
Phone (708) 379-2310

275 201St St
Chicago Heights, IL 60411-1742
Phone (708) 754-8161

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1342
Removal or shaving of skin growth1144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004111ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Illinois, LLC CurrentSince Jun 1, 2012 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Jun 1, 2012 Accepting new patients
Dennis J Wolny DPM PC Podiatrist PastSince Jul 1, 2019 Accepting new patients

Locations

35318 Eagle Way
Chicago, IL 60678

18410 Governors Hwy
#B
Homewood, IL 60430
Phone (708) 647-0571

20201 Crawford Ave
Ste 1400
Olympia Fields, IL 60461
Phone (708) 379-2310

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

345 Dixie Hwy
South Chicago Heights, IL 60411
Phone (708) 754-7601

17859 80th Ave
Tinley Park, IL 60477
Phone (708) 709-9600

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

Interoperability endpoints

  • Direct secure messaging: fnarcisi65679@direct.franciscanalliance.org

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1619983061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DR",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437240",
            "telephone_number": "317-528-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "address_2": "SUITE 1400",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010",
            "telephone_number": "708-679-2310",
            "fax_number": "708-503-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARCISI",
        "first_name": "FRANK",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "203979044",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004111",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1619159",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fnarcisi65679@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20201 Crawford Ave",
            "address_2": "Suite 1400",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.