Individual provider Active NPI

Johnny C Rossi, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Mokena, IL
National Provider Identifier
1659544799
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005327 Issued in IL
Practice address
19841 Wolf Rd
Mokena, IL 60448-1315
Phone
(708) 479-0790
Fax
(708) 479-0792
NPI assigned
Apr 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 016005327 IL Primary

Addresses

Primary practice location

19841 Wolf Rd
Mokena, IL 60448-1315

Mailing address

19841 Wolf Rd
Mokena, IL 60448-1315
Phone (708) 479-0790

Other identifiers 4

IdentifierTypeStateIssuer
01620925OtherILBCBS
07001066AOtherINLICENSE
P00651652OtherINRAILROAD MEDICARE
016005327OtherILLICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jrossi278512@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20080716000822 IL Practitioner - Podiatry 8325111842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phillip D. Narcissi DPM S.C.Group PAC ID 4183766868, 2 clinicians

Practice addresses (Care Compare)

19841 Wolf Rd
Mokena, IL 60448-1315
Phone (708) 479-0790

Hospital & facility affiliations

  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048
  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue161
Removal of skin lesions41
Removal of nail tissue469
Removal or shaving of skin growth90
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip D. Narcissi DPM S.C. Foot & Ankle Surgery CurrentSince Jan 1, 2010 Accepting new patients
Keystone Orthopedic Specialists S C PastSince Feb 1, 2008 Accepting new patients

Locations

715 Dixie Hwy
Beecher, IL 60401
Phone (708) 946-9301

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

19841 Wolf Rd
Mokena, IL 60448
Phone (708) 479-0320

20060 Governors Dr
Ste 300
Olympia Flds, IL 60461
Phone (708) 283-2600

Interoperability endpoints

  • Direct secure messaging: jrossi278512@direct.myadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDECBA

Organizations & group practices 2

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 5

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659544799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19841 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481315",
            "telephone_number": "708-479-0790",
            "fax_number": "708-479-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19841 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481315",
            "telephone_number": "708-479-0790",
            "fax_number": "708-479-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "JOHNNY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01620925",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "07001066A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00651652",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "016005327",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrossi278512@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19841 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604481315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "19841 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604481315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.