Xheni Gjergo

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016.006059 Issued in IL

Practice address

350 Houbolt Rd Ste 104
Joliet, IL 60431-8305

Phone

(815) 553-0990

NPI assigned

Jun 10, 2021

Last updated

Jun 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Breck Tiernan PC

  dba Advanced Foot and Ankle Center of Joliet

  • Foot & Ankle Surgery Podiatrist
  • Joliet, IL
  • NPI 1730354382
  Medicare reassignment NPD

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1679140297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOUBOLT RD STE 104",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318305",
            "telephone_number": "815-553-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOUBOLT RD STE 104",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318305",
            "telephone_number": "815-553-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJERGO",
        "first_name": "XHENI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.006059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy S Giefer, LCSW
• Sara M Gilbert, SLP
• Laura Gillespie
• David J Gilmore, P.A.-C
• Visvanatha V Giri, M.D.
• Sarah Ann Glawe
• GM Revelle Inc (Vision Gallery)
• Mary Elizabeth Gniady, APRN, NP-C, CCNS
• Dena Gocal McGrath
• Nathan T Goff, DPT

• Foot & Ankle Surgery Podiatrist in Joliet, IL
• Providers in Joliet, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.