Michael George Lacey, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005210 Issued in IL

Practice address

333 W 89TH Ave Ste W5
Merrillville, IN 46410-7050

Phone

(219) 662-2279

Fax

(855) 742-9438

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 3

Electronic endpoints 1

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Illinois Foot and Ankle Specialists, LTDGroup PAC ID 1355566183, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
• Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14157/brand/1/csg/1/fhir/r4

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.

• Northern Illinois Foot & Ankle Specialists, LTD

  • Foot & Ankle Surgery Podiatrist
  • Crystal Lake, IL
  • NPI 1851702302
  Medicare reassignment Care Compare group NPD
• Northern Illinois Foot & Ankle Specialists, LTD

  • Podiatric Clinic/Center
  • Bloomingdale, IL
  • NPI 1427854215

  Podiatrist

  NPD
• Northern Illinois Foot & Ankle Specialists, LTD

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1477192755
  NPD
• Beverly Podiatry Center, LLC

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1790777118
  NPD (past)
• Northern Illinois Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Lake in the Hills, IL
  • NPI 1760922504
  NPD (past)
• Orland Podiatry Center, LLC

  • Foot & Ankle Surgery Podiatrist
  • Orland Park, IL
  • NPI 1356333777
  NPD (past)
• Orthotec Surgery Center, Inc

  dba Elmhurst Foot & Ankle Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Elmhurst, IL
  • NPI 1205234143
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Sherman Hospital

  • General Acute Care Hospital
  • Elgin, IL
  • NPI 1629026364
  Care Compare affiliation
• Delnor Community Hospital

  dba Northwestern Medicine Delnor Community Hospital

  • General Acute Care Hospital
  • Geneva, IL
  • NPI 1407859655
  Care Compare affiliation
• Sherman Hospital

  • Skilled Nursing Facility
  • Elgin, IL
  • NPI 1275584302

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1700882602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E SCHAUMBURG RD",
            "address_2": "STE 110",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943548",
            "telephone_number": "847-352-1473",
            "fax_number": "847-352-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W 89TH AVE STE W5",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107050",
            "telephone_number": "219-662-2279",
            "fax_number": "855-742-9438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5345 Commerce Blvd",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463075325",
            "country_code": "US",
            "telephone_number": "219-662-2279",
            "fax_number": "855-742-9438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACEY",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005210",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "IL",
            "license": "016005210",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016005210",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001055A",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016005210",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007131702",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200901510",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00002490663 05",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.lacey.1@9564.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5345 Commerce Blvd",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463075325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rajiv Kumar, M.D.
• Sridivya Kumar, M.D.
• Geeta Kurra, M.D
• Jelisaveta Labovic, DMD
• Alyssa Labra
• Norlinda Lacey
• Denise Ladowicz
• Ann M Lafrance, PSY.D., HSPP
• Rachael Lagunas
• Lake County Hospitalists, LLC

• Foot & Ankle Surgery Podiatrist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.

Verify at the official NPI Registry.