Active NPI
Chao Vang, DPM
- Podiatrist
- Pekin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016004868
- Practice address
- 1503 Valle Vista Blvd Ste C
Pekin, IL 61554-6239 - Phone
- (309) 347-6121
- Fax
- (309) 347-8010
- NPI assigned
- Mar 29, 2006
- Last updated
- Sep 27, 2012
- Sex
- Male
- 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 | 016004868 | IL | Primary |
Addresses
Primary practice location
1503 Valle Vista Blvd Ste C
Pekin, IL 61554-6239
Mailing address
1503 Valle Vista Blvd Ste C
Pekin, IL 61554-6239
Phone (309) 347-6121
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1503 Valle Vista Blvd
Suite C
Pekin, IL 61554-6239
Phone (309) 347-6121
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.74 of 100
- Quality
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 346 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1529 |
| Removal or shaving of skin growth | 288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pekin Podiatric Medical Center, P.C | Podiatrist | Current | Accepting new patients |
Locations
1503 Valle Vista Blvd
Ste C
Pekin, IL 61554
Phone (309) 347-6121
1505 Valle Vista Blvd
Pekin, IL 61554
Phone (309) 347-6121
Organizations & group practices 1
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.
-
- Podiatrist
- Pekin, IL
- NPI 1518142439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1740241967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 VALLE VISTA BLVD STE C",
"city": "PEKIN",
"state": "IL",
"postal_code": "615546239",
"telephone_number": "309-347-6121",
"fax_number": "309-347-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 VALLE VISTA BLVD STE C",
"city": "PEKIN",
"state": "IL",
"postal_code": "615546239",
"telephone_number": "309-347-6121",
"fax_number": "309-347-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "CHAO",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016004868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pekin, IL
- Brandon L Underwood, LPC
- Unlimited Development Inc. (UDI 10 Pekin Manor)
- Lori Rhonda Utter, SPEECH LANGUAGE PATH
- Kate Elizabeth Vandiver, MSW
- Charles S Vandyke, M.D.
- Jessica Verplaetse, PHD, PMHNP-BC
- David Vondoehren
- Julie Wahmann, RPH
- Wal-Mart Stores, Inc (Vision Center 30-0603)
- Walgreen Co (Walgreens #11493)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.