Active NPI
Melanie Vaisberg, DPM
- Podiatrist
- Chicago, IL
National Provider Identifier
1720764582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 135001199
- Practice address
- 5140 N California Ave
Chicago, IL 60625-3645 - Phone
- (773) 878-8200
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 135001199 | IL | Primary |
Addresses
Primary practice location
5140 N California Ave
Chicago, IL 60625-3645
Mailing address
2362 N Clybourn Ave Apt 2R
Chicago, IL 60614-2917
Phone (786) 651-0499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135001199 | IL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1720764582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2362 N CLYBOURN AVE APT 2R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142917",
"telephone_number": "786-651-0499"
},
{
"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": [],
"basic": {
"last_name": "VAISBERG",
"first_name": "MELANIE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "135001199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.