Individual provider Active NPI

Louis Jae CHI, DPM

  • Foot Surgery Podiatrist
  • Darien, IL
National Provider Identifier
1699744060
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
016-005030 Issued in IL
Practice address
8310 Lemont Rd
Darien, IL 60561-1510
Phone
(630) 218-0014
Fax
(630) 218-0017
NPI assigned
Mar 16, 2006
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 016-005030 IL Primary

Addresses

Primary practice location

8310 Lemont Rd
Darien, IL 60561-1510

Mailing address

8310 Lemont Rd
Darien, IL 60561-1510
Phone (630) 218-0014

Other identifiers 1

IdentifierTypeStateIssuer
016-005030MedicaidIL

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
I20050616000978 IL Practitioner - Podiatry 7315981651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Foot and Ankle Center PCGroup PAC ID 2860596764, 2 clinicians

Practice addresses (Care Compare)

1167 E Algonquin Rd
Suite 1
Des Plaines, IL 60016-6325
Phone (847) 789-7714

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue110
Removal of skin lesions1-10
Removal of nail tissue1217
Removal or shaving of skin growth963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-005030ILMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Foot and Ankle Center, PC Foot Surgery CurrentSince Jan 1, 2007 Accepting new patients

Locations

1450 Plainfield Rd
Ste 6
Darien, IL 60561
Phone (630) 218-0014

8310 Lemont Rd
Darien, IL 60561
Phone (630) 218-0014

1167 E Algonquin Rd
Des Plaines, IL 60016
Phone (847) 789-7714

1167 E Algonquin Rd
Ste 1
Des Plaines, IL 60016
Phone (847) 789-7714

1012 95th St
Naperville, IL 60564
Phone (630) 428-1503

1100 Lake St
Ste 248
Oak Park, IL 60301
Phone (708) 383-5554

167 N Marion St
Oak Park, IL 60301
Phone (708) 383-5554

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1699744060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 LEMONT RD",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611510",
            "telephone_number": "630-218-0014",
            "fax_number": "630-218-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 LEMONT RD",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611510",
            "telephone_number": "630-218-0014",
            "fax_number": "630-218-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "LOUIS",
        "middle_name": "JAE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016-005030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016-005030",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

Verify at the official NPI Registry.