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

Last updated

May 8, 2019By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Zurich Podiatry PC

  dba Lake Zurich Foot Clinic

  • 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.