Individual provider Active NPI

Hozaifa M Anjum, DPM, AACFAS

  • Podiatrist
  • Joliet, IL
National Provider Identifier
1629772538
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016.006171 Issued in IL
Practice address
951 Essington Rd
Joliet, IL 60435-8439
Phone
(630) 323-6116
NPI assigned
Mar 27, 2023
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016.006171 IL Primary
Podiatrist 213E00000X 0116038483 VA

Addresses

Primary practice location

951 Essington Rd
Joliet, IL 60435-8439

Mailing address

951 Essington Rd
Joliet, IL 60435-8439
Phone (630) 323-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240612000965 VA Order and Referring Only - PodiatryPractitioner - Podiatry 2860934320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0116038483VAMDPodiatrist

Interoperability endpoints

  • Direct secure messaging: hanjum1460747@valleyhealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629772538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358439",
            "telephone_number": "630-323-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358439",
            "telephone_number": "630-323-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANJUM",
        "first_name": "HOZAIFA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM, AACFAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.006171",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0116038483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.