Active NPI
Lijo John, DPM
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 135000872
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5841 Library Rd
Bethel Park, PA 15102-3333
Phone (412) 831-1515
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 955 |
| Removal or shaving of skin growth | 796 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academy of Podiatry, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Mobile Foot Doctors, Inc, | Foot & Ankle Surgery | Current | Accepting new patients |
| Academy of Podiatry | Current | Accepting new patients | |
| Arvind Patel M.D.S.C. | Current | Accepting new patients | |
| Northwest Health Care, LTD | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1174549943
-
- Foot & Ankle Surgery Podiatrist
- Rolling Meadows, IL
- NPI 1912276684
-
- Clinic/Center
- Chicago, IL
- NPI 1639260870
-
- Podiatrist
- Pittsburgh, PA
- NPI 1982878880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.