Individual provider Active NPI

Fadi Isa Isa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1720725716
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016006137 Issued in IL
Practice address
5140 N California Ave
Chicago, IL 60625-3645
Phone
(773) 878-8200
NPI assigned
May 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016006137 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5140 N California Ave
Chicago, IL 60625-3645

Mailing address

7857 Hamlet CT
Canton, MI 48187-1268
Phone (313) 608-4964

Other practice location 1

1718 N Clybourn Ave
Chicago, IL 60614-7256
Phone (312) 820-6464

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
I20251208001198 IL Practitioner - Podiatry 1759742372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley Foot Specialists,LTDGroup PAC ID 5991900680, 5 clinicians

Practice addresses (Care Compare)

1220 Hobson Rd
Suite 248
Naperville, IL 60540-8138
Phone (630) 548-3900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue14
Removal or shaving of skin growth14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016006137ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Foot Specialists,LTD CurrentSince Sep 26, 2025 Accepting new patients
Lavos LLC CurrentSince Jan 23, 2026 Accepting new patients
Riya Vyas Foot and Ankle PLLC Foot & Ankle Surgery PastSince Jan 23, 2026 Accepting new patients

Locations

1220 Hobson Rd
Ste 248
Naperville, IL 60540
Phone (630) 355-9811

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19977/brand/1/csg/1/fhir/r4
  • Direct secure messaging: fadi.isa.1@19977.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1720725716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7857 HAMLET CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871268",
            "telephone_number": "313-608-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645",
            "telephone_number": "773-878-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 N Clybourn Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606147256",
            "country_code": "US",
            "telephone_number": "312-820-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISA",
        "first_name": "FADI",
        "middle_name": "ISA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016006137",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.