Individual provider Active NPI

Ameet Thakrar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1700290921
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
135000847 Issued in IL
Practice address
4646 N Marine Dr
Chicago, IL 60640-5759
Phone
(773) 564-5221
NPI assigned
Jun 16, 2014
Last updated
Jul 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 135000847 IL Primary

Addresses

Primary practice location

4646 N Marine Dr
Chicago, IL 60640-5759

Mailing address

15772 S Bell Rd
Homer Glen, IL 60491-8400
Phone (708) 301-4443

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
I20170831000926 IL Practitioner - Podiatry 1052620754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vittori Foot and Ankle Specialist IncGroup PAC ID 3971602848, 2 clinicians

Practice addresses (Care Compare)

15772 S Bell Rd
Homer Glen, IL 60491-8400
Phone (708) 301-4443

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.84 of 100Reported as group
Quality
91.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue89
Removal of skin lesions1-10
Removal of nail tissue540
Removal or shaving of skin growth131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vittori Foot & Ankle Specialist Inc Foot & Ankle Surgery CurrentSince Sep 1, 2017 Accepting new patients
Scott Newcomb, DPM PC CurrentSince Sep 1, 2017 Accepting new patients

Locations

431 Summit St
Ste 102
Elgin, IL 60120
Phone (847) 697-4500

15772 S Bell Rd
Homer Glen, IL 60491
Phone (708) 301-4443

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3943/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 4

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1700290921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15772 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918400",
            "telephone_number": "708-301-4443",
            "fax_number": "708-301-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-564-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKRAR",
        "first_name": "AMEET",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "135000847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.