Organization Active NPI

Instep Podiatry, P.C.

  • Podiatrist
  • Wheaton, IL
National Provider Identifier
1720111024
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
INSTEP PODIATRY, P.C.
Practice address
200 E Willow Ave
Wheaton, IL 60187-5463
Phone
(630) 462-1470
Fax
(630) 462-9223
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Mrs. Veronica Martinez
Title
Office Manager
Phone
(630) 462-1470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X IL Primary

Addresses

Primary practice location

200 E Willow Ave
Wheaton, IL 60187-5463

Mailing address

200 E Willow Ave
Wheaton, IL 60187-5463
Phone (630) 462-1470

Other identifiers 1

IdentifierTypeStateIssuer
60001140OtherILBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071218000320 IL Part B Supplier - Clinic/Group Practice 8820188584 Receives reassigned benefits from 1 practitioner
Practice locations: Wheaton, IL
O20100930040696 IL DME Supplier - Physician - Podiatry 8820188584 Practice locations: Wheaton, IL

National Provider Directory

National Provider Directory
Tax ID family
Instep Podiatry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 E Willow Ave
Ste Ll
Wheaton, IL 60187

200 E Willow Ave
Lowr
Wheaton, IL 60187
Phone (630) 462-1470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1720111024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WILLOW AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875463",
            "telephone_number": "630-462-1470",
            "fax_number": "630-462-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WILLOW AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875463",
            "telephone_number": "630-462-1470",
            "fax_number": "630-462-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTEP PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-462-1470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "60001140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.