Individual provider Active NPI

Robert J Foody, MD

  • Ophthalmology Physician
  • Aurora, IL
National Provider Identifier
1780659912
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Practice address
1300 Highland Ave
Ste 1
Aurora, IL 60506
Phone
(630) 897-5104
Fax
(630) 897-5089
NPI assigned
Feb 21, 2006
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X IL Primary

Addresses

Primary practice location

1300 Highland Ave
Ste 1
Aurora, IL 60506

Mailing address

1300 Highland Ave
Ste 1
Aurora, IL 60506
Phone (630) 897-5104

Other identifiers 3

IdentifierTypeStateIssuer
0004500722OtherILBCBS
4096568OtherILAETNA
0434070001OtherILADMINISTAR

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215000189 IL Practitioner - Ophthalmology 6901708304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Eye Clinic LTDGroup PAC ID 2769384163, 7 clinicians

Practice addresses (Care Compare)

1300 N Highland Ave
Suite 1
Aurora, IL 60506-1464
Phone (630) 897-5104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Eye Clinic LTD Ophthalmology CurrentSince Oct 4, 1994 Accepting new patients
Kendall Pointe Surgery Center LLC PastSince Dec 23, 2020 Accepting new patients

Locations

1300 N Highland Ave
Ste 1
Aurora, IL 60506
Phone (630) 897-5104

Interoperability endpoints

  • Direct secure messaging: robert.foodymd.p1@direct.auroraeyeclinic.nextgenshare.com

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1780659912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HIGHLAND AVE",
            "address_2": "STE 1",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-897-5104",
            "fax_number": "630-897-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HIGHLAND AVE",
            "address_2": "STE 1",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-897-5104",
            "fax_number": "630-897-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOODY",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004500722",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4096568",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "0434070001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.