Active NPI
Michal A. Piszczuk, DPM, PHARMD, RPH
- Foot & Ankle Surgery Podiatrist
- Lincolnwood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016.005516
- Practice address
- 7301 N Lincoln Ave Ste 183
Lincolnwood, IL 60712-1736 - Phone
- (224) 766-7669
- Fax
- (847) 674-0892
- NPI assigned
- Jul 14, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 016.005516 | IL | Primary |
Addresses
Primary practice location
7301 N Lincoln Ave Ste 183
Lincolnwood, IL 60712-1736
Mailing address
7301 N Lincoln Ave Ste 183
Lincolnwood, IL 60712-1736
Phone (224) 766-7669
Other practice location 1
705 Warrenville Rd
Wheaton, IL 60189-6379
Phone (630) 668-8277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016005516 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5250 Old Orchard Rd
Suite 300
Skokie, IL 60077-4462
Phone (847) 810-9095
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1412 |
| Removal or shaving of skin growth | 1343 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.005516 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Woundcare, Inc | Current | Accepting new patients | |
| Onsite Health Therapies, LLC | Current | Accepting new patients | |
| Northwest Podiatry Center | Foot & Ankle Surgery | Current | Accepting new patients |
| Northwest Podiatry Center | Current | Accepting new patients |
Locations
2124 Ogden Ave
Ste 101
Aurora, IL 60504
Phone (630) 585-8087
3254 Sycamore Rd
DeKalb, IL 60115
Phone (815) 756-9491
7301 N Lincoln Ave
Ste 180
Lincolnwood, IL 60712
Phone (224) 766-7669
7954 W Oakton St
Niles, IL 60714
Phone (708) 823-5510
31 S Sutton Rd
Streamwood, IL 60107
Phone (630) 830-2155
705 Warrenville Rd
Ste B
Wheaton, IL 60189
Phone (630) 668-8277
705 Warrenville Rd
Wheaton, IL 60189
Phone (630) 260-1166
Interoperability endpoints
- piszczuk@ohis-il.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- General Practice Physician
- Skokie, IL
- NPI 1447821459
-
- Foot & Ankle Surgery Podiatrist
- Wheaton, IL
- NPI 1316030943
-
- Durable Medical Equipment & Medical Supplies
- Huntley, IL
- NPI 1720538879
-
- Physical Therapist
- Lincolnwood, IL
- NPI 1790373454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679737100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 N LINCOLN AVE STE 183",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121736",
"telephone_number": "224-766-7669",
"fax_number": "847-674-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 N LINCOLN AVE STE 183",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121736",
"telephone_number": "224-766-7669",
"fax_number": "847-674-0892"
}
],
"practiceLocations": [
{
"address_1": "705 Warrenville Rd",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601896379",
"country_code": "US",
"telephone_number": "630-668-8277",
"fax_number": "630-668-3358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PISZCZUK",
"first_name": "MICHAL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DPM, PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016.005516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016005516",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.