Individual provider Active NPI

Manish Pandya, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1629560339
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
135001025 Issued in IL
Practice address
4646 N Marine Dr
Chicago, IL 60640
Phone
(773) 878-8700
NPI assigned
May 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 135001025 IL Primary

Addresses

Primary practice location

4646 N Marine Dr
Chicago, IL 60640

Mailing address

5038 Jarvis Ave
Skokie, IL 60077-3312
Phone (847) 800-4530

Other practice location 1

654 W Veterans Parkway
Ste D
Yorkville, IL 60560-2510
Phone (630) 533-9300

Other practice location 2

1802 N Division
Ste 305
Morris, IL 60450-1184
Phone (815) 942-9050

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
I20220311000467 IL Practitioner - Podiatry 1951791227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

654 W Veterans Pkwy
Suite D
Yorkville, IL 60560-2510
Phone (630) 553-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue94
Removal of skin lesions11
Removal of nail tissue528
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135001025ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Plaza Foot and Ankle SC CurrentSince Jun 1, 2022 Accepting new patients
Centers for Foot and Ankle Surgery Podiatrist CurrentSince Sep 23, 2024 Accepting new patients
Centers for Foot and Ankle Surgery Podiatrist CurrentSince Sep 23, 2024 Accepting new patients

Locations

1228 Ogden Ave
Downers Grove, IL 60515
Phone (630) 810-9966

1802 N Division St
Ste 305
Morris, IL 60450
Phone (815) 942-9050

654 W Veterans Pkwy
Ste D
Yorkville, IL 60560
Phone (630) 533-9300

654 W Veterans Pkwy
Yorkville, IL 60560

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1629560339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 JARVIS AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773312",
            "telephone_number": "847-800-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-878-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "654 W Veterans Parkway",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Yorkville",
            "state": "IL",
            "postal_code": "605602510",
            "country_code": "US",
            "telephone_number": "630-533-9300",
            "fax_number": "630-553-9306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 N Division",
            "address_2": "Ste 305",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604501184",
            "country_code": "US",
            "telephone_number": "815-942-9050",
            "fax_number": "815-942-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "MANISH",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "135001025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.