Individual provider Active NPI

Michal A. Piszczuk, DPM, PHARMD, RPH

  • Foot & Ankle Surgery Podiatrist
  • Lincolnwood, IL
National Provider Identifier
1679737100
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005516 Issued in IL
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

Updated by the provider on Jul 21, 2022

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 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

IdentifierTypeStateIssuer
016005516MedicaidIL

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
I20120613000291 IL Practitioner - Podiatry 6204090780 Reassigns benefits to 2 organizations

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
Advanced Woundcare, IncGroup PAC ID 3678971389, 6 clinicians

Practice addresses (Care Compare)

5250 Old Orchard Rd
Suite 300
Skokie, IL 60077-4462
Phone (847) 810-9095

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1412
Removal or shaving of skin growth1343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
016.005516ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Woundcare, Inc CurrentSince Aug 31, 2023 Accepting new patients
Onsite Health Therapies, LLC CurrentSince May 11, 2021 Accepting new patients
Northwest Podiatry Center Foot & Ankle Surgery CurrentSince Aug 17, 2015 Accepting new patients
Northwest Podiatry Center CurrentSince Aug 17, 2015 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

  • Direct secure messaging: piszczuk@ohis-il.direct.office.nextgen.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.