Individual provider Active NPI

Carolyn Whitfield, DPM

  • Podiatrist
  • Crest Hill, IL
National Provider Identifier
1699878066
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016003971 Issued in IL
Practice address
16151 Weber Rd
Suite 107
Crest Hill, IL 60403-0863
Phone
(815) 733-5162
Fax
(815) 733-5192
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016003971 IL Primary

Addresses

Primary practice location

16151 Weber Rd
Suite 107
Crest Hill, IL 60403-0863

Mailing address

16151 Weber Rd
Suite 107
Crest Hill, IL 60403-0863
Phone (815) 733-5162

Other identifiers 2

IdentifierTypeStateIssuer
0060001542OtherILBCBS
016003971MedicaidIL

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
I20040825000816 IL Practitioner - Podiatry 0941274898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

101 N Hickory
Hickory Estates of Pana
Pana, IL 62557-1000
Phone (217) 562-2022

1201 N Alton St
Lebanon Care Center
Lebanon, IL 62254-1103
Phone (618) 537-4401

1560 Suncrest LN
Bolingbrook, IL 60490-3278
Phone (815) 838-0282

2201 W Main St
Shelbyville, IL 62565-9633
Phone (217) 774-1040

2944 Greenwood Acres Dr
Dekalb, IL 60115-4949
Phone (815) 756-8461

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1499
Removal or shaving of skin growth546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Podiatry, P.C. Podiatrist CurrentSince Nov 1, 2010 Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Dec 16, 2019 Accepting new patients
Foot & Ankle Health Care Center LTD Podiatrist Past Accepting new patients

Locations

1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401

Organizations & group practices 3

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1699878066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16151 WEBER RD",
            "address_2": "SUITE 107",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030863",
            "telephone_number": "815-733-5162",
            "fax_number": "815-733-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 WEBER RD",
            "address_2": "SUITE 107",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030863",
            "telephone_number": "815-733-5162",
            "fax_number": "815-733-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "CAROLYN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060001542",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003971",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

Verify at the official NPI Registry.