Nicholas Aleksei Podkowirow, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016005829 Issued in IL

Practice address

950 W Il Route 22 Ste 105
Lake Zurich, IL 60047-3419

Phone

(847) 540-0234

Fax

(847) 540-0867

NPI assigned

Apr 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

William M. Scholl College of Podiatric Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Zurich Podiatry PCGroup PAC ID 0547206419, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lake Zurich Podiatry PC

  • Podiatrist
  • Lake Zurich, IL
  • NPI 1477679397
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1730614124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W IL ROUTE 22 STE 105",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473419",
            "telephone_number": "847-540-0234",
            "fax_number": "847-540-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W IL ROUTE 22 STE 105",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473419",
            "telephone_number": "847-540-0234",
            "fax_number": "847-540-0867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 N Francisco Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606222743",
            "country_code": "US",
            "telephone_number": "773-292-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODKOWIROW",
        "first_name": "NICHOLAS",
        "middle_name": "ALEKSEI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Sue Perlin, M.A.C.C.C. SLP
• Physiaservpc
• Claudia G. Pitts, PH.D.
• Play & Learn Therapy, Inc
• Podiatric Management Systems LLC
• Heather M Pohlman, FDN-P, FMCHC
• Diann Kay Pomeroy
• Sue Potempa
• Scott D Pouyat, O.D
• Pauchuru Prasadarao, M.D.

• Podiatrist in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.