Individual provider Active NPI

Ramin Ghazizadeh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hammond, IN
National Provider Identifier
1649652140
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001475A Issued in IN
Practice address
5818 Columbia Ave
Hammond, IN 46320-2607
Phone
(219) 237-5160
Fax
(219) 321-1935
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001475A IN Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005783 IL

Addresses

Primary practice location

5818 Columbia Ave
Hammond, IN 46320-2607

Mailing address

3950 N Lake Shore Dr Apt 1421
Chicago, IL 60613-3475
Phone (312) 330-4574

Other practice location 1

4646 N Marine Dr
Chicago, IL 60640-5759
Phone (773) 564-7400

Other practice location 2

19900 Governors Dr Ste 12
Olympia Fields, IL 60461-1059
Phone (708) 898-2380

Other practice location 3

231 Main St
Park Forest, IL 60466-2097
Phone (708) 748-3338

Other identifiers 1

IdentifierTypeStateIssuer
016005783MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20180503000021 IL Practitioner - Podiatry 2567771363 Reassigns benefits to 5 organizations
I20241216002053 IN Practitioner - Podiatry 2567771363 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
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

5818 Columbia Ave
Hammond, IN 46320-2607
Phone (219) 237-5160

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of nail tissue178
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005783ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Foot & Ankle LLC CurrentSince Oct 6, 2018 Accepting new patients
Sidney Hillman Health Centre of the Chicago and Cent St JNT BRD Union CurrentSince Dec 10, 2020 Accepting new patients
Ramin Ghazizadeh LLC Foot & Ankle Surgery CurrentSince Jan 1, 2023 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Jun 7, 2021 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Oct 20, 2024 Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Jan 6, 2025 Accepting new patients
Osh-in Physicians Group, PC PastSince Jan 6, 2025 Accepting new patients

Locations

333 S Ashland Ave
Fl 4
Chicago, IL 60607

4646 N Marine Dr
Ste A4600
Chicago, IL 60640
Phone (773) 564-7400

3919 W Foster Ave
Chicago, IL 60625
Phone (773) 588-9500

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

333 S Ashland Ave
Chicago, IL 60607
Phone (312) 738-6170

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

19900 Governors Dr
Ste 12
Olympia Fields, IL 60461
Phone (630) 656-3171

231 Main St
Park Forest, IL 60466
Phone (708) 250-0785

5818 Columbia Ave
Hammond, IN 46320
Phone (219) 237-5160

Interoperability endpoints

  • Direct secure messaging: ramin.ghazizadeh.1@18552.direct.athenahealth.com

Organizations & group practices 7

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1649652140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 N LAKE SHORE DR APT 1421",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133475",
            "telephone_number": "312-330-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 COLUMBIA AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202607",
            "telephone_number": "219-237-5160",
            "fax_number": "219-321-1935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 N Marine Dr",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405759",
            "country_code": "US",
            "telephone_number": "773-564-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19900 Governors Dr Ste 12",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611059",
            "country_code": "US",
            "telephone_number": "708-898-2380",
            "fax_number": "708-898-2326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 Main St",
            "address_purpose": "LOCATION",
            "city": "Park Forest",
            "state": "IL",
            "postal_code": "604662097",
            "country_code": "US",
            "telephone_number": "708-748-3338",
            "fax_number": "708-748-4332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAZIZADEH",
        "first_name": "RAMIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001475A",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005783",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005783",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

Verify at the official NPI Registry.