Active NPI
Alan J Tenczar
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016-003540
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0707390001 | Other | IL | DMERC |
| CE8840 | Other | IL | MEDICARE RR GROUP NUMBER |
| 480020436 | Other | IL | MEDICARE RR PROVIDER# |
| 016003540 | Medicaid | IL | |
| 60001380 | Other | IL | BCBS 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 104 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 96 |
| Removal or shaving of skin growth | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3591 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 016-003540 | IL | MD | Foot & Ankle Surgery Podiatrist |
| 272 | NE | MD | Foot & Ankle Surgery Podiatrist |
| 00438 | IA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| City Hospital, Inc. | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | 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.
-
dba City Hospital Anesthesia Department
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1942503164
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Internal Medicine Physician
- Ranson, WV
- NPI 1336657493
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Berkeley Medical Center
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
dba Jefferson Medical Center
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
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": []
}
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- Tenderlife LLC
- Tendertransit Corp
- Justine Faye Tenebro, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.