Individual provider Active NPI

Margaret Cozzi Olson, DPM

  • Podiatrist
  • River Forest, IL
National Provider Identifier
1780681973
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016003260 Issued in IL
Practice address
727 Bonnie Brae PL
River Forest, IL 60305-1930
Phone
(708) 217-4778
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016003260 IL Primary

Addresses

Primary practice location

727 Bonnie Brae PL
River Forest, IL 60305-1930

Mailing address

727 Bonnie Brae PL
River Forest, IL 60305-1930
Phone (708) 217-4778

Other identifiers 1

IdentifierTypeStateIssuer
016003260MedicaidIL

Other names 1

  • Margaret Ann Cozzi Former name

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
I20060726000045 IL Practitioner - Podiatry 2466465190 Practice locations: River Forest, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

727 Bonnie Brae PL
River Forest, IL 60305-1930
Phone (708) 217-4778

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 tissue55
Removal of nail tissue1881
Removal or shaving of skin growth512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016003260ILMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1780681973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 BONNIE BRAE PL",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051930",
            "telephone_number": "708-217-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 BONNIE BRAE PL",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051930",
            "telephone_number": "708-217-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MARGARET",
        "middle_name": "COZZI",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003260",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "COZZI",
            "middle_name": "ANN",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in River Forest, IL

Sources for this page

Verify at the official NPI Registry.