Supna Oberoi Reilly

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005494 Issued in IL

Practice address

4805 N Claremont Ave
Commercial Unit 1
Chicago, IL 60625-1909

Phone

(312) 579-3150

Fax

(312) 579-3151

NPI assigned

Oct 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Supna Oberoi Former name

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

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Podiatry Partners, LLCGroup PAC ID 1951662121, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: supnareilly@pppl-il.direct.office.nextgen.com

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.

• Performance Podiatry Partners, LLC

  • Sports Medicine Podiatrist
  • Chicago, IL
  • NPI 1265942080
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760791156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W FULTON ST",
            "address_2": "#1302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615000",
            "telephone_number": "508-259-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 N CLAREMONT AVE",
            "address_2": "COMMERCIAL UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251909",
            "telephone_number": "312-579-3150",
            "fax_number": "312-579-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123714",
            "country_code": "US",
            "telephone_number": "312-864-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "SUPNA",
        "middle_name": "OBEROI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUPNA",
            "last_name": "OBEROI",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Moira Reilly, LCSW, MSW
• Monica A Reilly, LMFT
• Paige Reilly
• Renee Marie Reilly, PH.D., CCC/SLP
• Sarah Anne Reilly, M.D.
• Reimagine Wellbeing, LLC
• Faith Forman Reimer, M.A., CCC-SLP
• Marjory Ruth Reimer, PSYD, CADC
• Madison Reimringer, DPT
• Molly Rein, DT

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.