Individual provider Active NPI

Terri L Foster, DPM

  • Foot & Ankle Surgery Podiatrist
  • Matteson, IL
National Provider Identifier
1720010481
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004138 Issued in IL
Practice address
4440 Lincoln Hwy
Suite 102
Matteson, IL 60443-2349
Phone
(708) 481-3338
Fax
(708) 481-8643
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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 016004138 IL Primary

Addresses

Primary practice location

4440 Lincoln Hwy
Suite 102
Matteson, IL 60443-2349

Mailing address

4440 Lincoln Hwy
Suite 102
Matteson, IL 60443-2349
Phone (708) 481-3338

Other identifiers 2

IdentifierTypeStateIssuer
0060001584OtherILBCBS
480031781OtherILRAILROAD MEDICARE

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
I20070129000622 IL Practitioner - Podiatry 4587665815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4440 Lincoln Hwy
Suite 102
Matteson, IL 60443-3802
Phone (708) 481-3338

Hospital & facility affiliations

  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions34
Removal of nail tissue54
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016004138ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Terri L Foster Foot & Ankle Surgery CurrentSince Jan 1, 2007 Accepting new patients
Yasmin B. Khan, MD PA Current Accepting new patients
Medical and Foot Care Group Foot & Ankle Surgery Past Accepting new patients
Foot and Ankle Inc Foot & Ankle Surgery Past Accepting new patients

Locations

4440 Lincoln Hwy
Ste 102
Matteson, IL 60443
Phone (708) 481-3338

1080 W Campbell Rd
Ste 200
Richardson, TX 75080
Phone (972) 498-4510

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1720010481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 LINCOLN HWY",
            "address_2": "SUITE 102",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432349",
            "telephone_number": "708-481-3338",
            "fax_number": "708-481-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 LINCOLN HWY",
            "address_2": "SUITE 102",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432349",
            "telephone_number": "708-481-3338",
            "fax_number": "708-481-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "TERRI",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060001584",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480031781",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

Verify at the official NPI Registry.