Active NPI
Edward Anthony Uram III, DPM
- Foot Surgery Podiatrist
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 016005816
- Practice address
- 1228 Ogden Ave
Downers Grove, IL 60515-2740 - Phone
- (630) 810-9966
- Fax
- (630) 810-9596
- NPI assigned
- May 4, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 016005816 | IL | Primary |
Addresses
Primary practice location
1228 Ogden Ave
Downers Grove, IL 60515-2740
Mailing address
1228 Ogden Ave
Downers Grove, IL 60515-2740
Phone (630) 810-9966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201013003188 | OR | Practitioner - Pathology | 6002122918 | Reassigns benefits to 1 organization |
| I20201013003351 | WA | Practitioner - Podiatry | 6002122918 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Northwest
Practice addresses (Care Compare)
10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
3500 N Interstate Ave
Portland, OR 97227-1196
Phone (800) 813-2000
3550 N Interstate Ave
Portland, OR 97227-1196
Phone (800) 813-2000
9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Phone (800) 813-2000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016005816 | IL | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Organizations & group practices 6
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
OR, WA
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1245382753
-
- Home Health Agency
- Portland, OR
- NPI 1487711412
-
- Community Based Hospice Care Agency
- Portland, OR
- NPI 1992860993
-
- General Practice Physician
- Portland, OR
- NPI 1306192455
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1700263282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 OGDEN AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152740",
"telephone_number": "630-810-9966",
"fax_number": "630-810-9596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 OGDEN AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152740",
"telephone_number": "630-810-9966",
"fax_number": "630-810-9596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URAM",
"first_name": "EDWARD",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-04",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "IL",
"license": "016005816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.