Individual provider Active NPI

Lijo John, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1639552029
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
135000872 Issued in IL
Practice address
1108 S Kedzie Ave
Chicago, IL 60612-3935
Phone
(773) 722-2712
NPI assigned
Jul 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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 135000872 IL Primary

Addresses

Primary practice location

1108 S Kedzie Ave
Chicago, IL 60612-3935

Mailing address

1108 S Kedzie Ave
Chicago, IL 60612-3935
Phone (773) 722-2712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181115000002 IL Practitioner - Podiatry 1850645599 Reassigns benefits to 3 organizations
I20231215001013 PA Practitioner - Podiatry 1850645599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academy of Podiatry, IncGroup PAC ID 9830160530, 5 clinicians

Practice addresses (Care Compare)

5841 Library Rd
Bethel Park, PA 15102-3333
Phone (412) 831-1515

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue955
Removal or shaving of skin growth796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Academy of Podiatry, Inc Foot & Ankle Surgery CurrentSince Nov 27, 2023 Accepting new patients
Mobile Foot Doctors, Inc, Foot & Ankle Surgery CurrentSince Dec 1, 2018 Accepting new patients
Academy of Podiatry CurrentSince Nov 27, 2023 Accepting new patients
Arvind Patel M.D.S.C. CurrentSince Jan 25, 2020 Accepting new patients
Northwest Health Care, LTD CurrentSince Sep 29, 2018 Accepting new patients

Locations

5352 N Lincoln Ave
Chicago, IL 60625
Phone (773) 353-5047

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

380 E Northwest Hwy
Ste 200
Des Plaines, IL 60016
Phone (847) 299-6400

2010 N Harlem Ave
Elmwood Park, IL 60707
Phone (708) 452-4443

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

4215 Kirchoff Rd
Rolling Meadows, IL 60008
Phone (847) 231-2517

5841 Library Rd
Bethel Park, PA 15102
Phone (412) 831-1515

2882 W Liberty Ave
Pittsburgh, PA 15216
Phone (412) 831-1515

Interoperability endpoints

  • Direct secure messaging: ljohn@academyofpodiatry.medentdirect.com

Organizations & group practices 5

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1639552029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123935",
            "telephone_number": "773-722-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123935",
            "telephone_number": "773-722-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "LIJO",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "135000872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.