Individual provider Active NPI

James Robert Lord, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Carol Stream, IL
National Provider Identifier
1760498612
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
016004900 Issued in IL
Practice address
269 W Elk TRL
Carol Stream, IL 60188-9373
Phone
(630) 681-1173
Fax
(630) 868-3948
NPI assigned
Jul 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2115 MA
Primary Podiatric Medicine Podiatrist 213EP1101X 016004900 IL Primary

Addresses

Primary practice location

269 W Elk TRL
Carol Stream, IL 60188-9373

Mailing address

269 W Elk TRL
Carol Stream, IL 60188-9373
Phone (630) 681-1173

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
I20040119000661 IL Practitioner - Podiatry 9234030594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

665 Barrington Ave
Carpentersville, IL 60110-2904
Phone (847) 551-4307

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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1750
Removal or shaving of skin growth552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016004900ILMDPrimary Podiatric Medicine Podiatrist
2115MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lord Foot & Ankle Specialist SC Podiatrist CurrentSince Dec 7, 2010 Accepting new patients
Westeron Stephens Chiropractor, P.C. Past Accepting new patients

Locations

191 Hiawatha Dr
Carol Stream, IL 60188
Phone (630) 681-1173

269 W Elk Trl
Carol Stream, IL 60188
Phone (630) 681-1173

665 Barrington Ave
Carpentersvle, IL 60110
Phone (630) 681-1173

2388 Bricher Rd
Geneva, IL 60134
Phone (630) 262-3900

2180 Manchester Rd
Wheaton, IL 60187
Phone (630) 665-4330

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760498612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 W ELK TRL",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889373",
            "telephone_number": "630-681-1173",
            "fax_number": "630-868-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 W ELK TRL",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889373",
            "telephone_number": "630-681-1173",
            "fax_number": "630-868-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2115",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016004900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

Verify at the official NPI Registry.