Individual provider Active NPI

Alan J Tenczar

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1689626194
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-003540 Issued in IL
Practice address
7447 W Talcott Ave
Ste 214
Chicago, IL 60631-3745
Phone
(773) 594-9700
Fax
(773) 594-0095
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016-003540 IL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 00438 IA
Foot & Ankle Surgery Podiatrist 213ES0103X E3591 CA
Foot & Ankle Surgery Podiatrist 213ES0103X 272 NE

Addresses

Primary practice location

7447 W Talcott Ave
Ste 214
Chicago, IL 60631-3745

Mailing address

7447 W Talcott Ave
Ste 214
Chicago, IL 60631-3745
Phone (773) 594-9700

Other identifiers 5

IdentifierTypeStateIssuer
0707390001OtherILDMERC
CE8840OtherILMEDICARE RR GROUP NUMBER
480020436OtherILMEDICARE RR PROVIDER#
016003540MedicaidIL
60001380OtherILBCBS OF ILLINOIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20230912003165 WV Practitioner - Podiatry 2860428711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Hospital IncGroup PAC ID 3375444524, 155 clinicians

Practice addresses (Care Compare)

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443

300 S Preston St
Ranson, WV 25438-1631
Phone (304) 598-4000

61 Campus Dr
Suite 104
Martinsburg, WV 25404-7542
Phone (304) 725-2663

912 Somerset Blvd
Suite 101
Charles Town, WV 25414-3954
Phone (304) 725-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue104
Removal of skin lesions1-10
Removal of nail tissue96
Removal or shaving of skin growth23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3591CAMDFoot & Ankle Surgery Podiatrist
016-003540ILMDFoot & Ankle Surgery Podiatrist
272NEMDFoot & Ankle Surgery Podiatrist
00438IAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 25, 2023 Accepting new patients
City Hospital, Inc. CurrentSince Nov 29, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 25, 2023 Accepting new patients
City Hospital Inc Current Accepting new patients

Locations

912 Somerset Blvd
Ste 101
Charles Town, WV 25414
Phone (304) 724-2663

61 Campus Dr
Ste 104
Martinsburg, WV 25404
Phone (304) 596-5615

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

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.

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1689626194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "STE 214",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-594-9700",
            "fax_number": "773-594-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "STE 214",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-594-9700",
            "fax_number": "773-594-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENCZAR",
        "first_name": "ALAN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-003540",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00438",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3591",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0707390001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP NUMBER",
            "identifier": "CE8840",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PROVIDER#",
            "identifier": "480020436",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003540",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "60001380",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.