Organization Active NPI

Todd J Karas DPM PC

Doing business as Associates of Sterling Podiatry

  • Podiatrist
  • Peoria, IL
National Provider Identifier
1801918164
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
060008364 Issued in IL
Legal business name
TODD J KARAS DPM PC
Doing business as
Associates of Sterling Podiatry
Practice address
4507 N Sterling Ave
Suite 102
Peoria, IL 61615-3860
Phone
(309) 272-7322
Fax
(309) 272-2251
NPI assigned
Apr 5, 2007
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Renata E Karas
Title
Business Manager
Phone
(309) 272-7322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 060008364 IL Primary

Addresses

Primary practice location

4507 N Sterling Ave
Suite 102
Peoria, IL 61615-3860

Mailing address

4507 N Sterling Ave
Suite 102
Peoria, IL 61615-3860
Phone (309) 272-7322

Other identifiers 3

IdentifierTypeStateIssuer
016004871MedicaidIL
P00114681OtherPALMETTO RR PIN
0007232085OtherILBLUE SHIELD GROUP

Other names 1

  • ASSOCIATES OF STERLING PODIATRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040517001027 IL Part B Supplier - Clinic/Group Practice 9234129610 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, IL; Washington, IL
O20100930016882 IL DME Supplier - Physician - Podiatry 9234129610 Practice locations: Peoria, IL

National Provider Directory

National Provider Directory

Locations

4507 N Sterling Ave
Ste 102
Peoria, IL 61615
Phone (309) 272-7322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1801918164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 N STERLING AVE",
            "address_2": "SUITE 102",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153860",
            "telephone_number": "309-272-7322",
            "fax_number": "309-272-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 N STERLING AVE",
            "address_2": "SUITE 102",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153860",
            "telephone_number": "309-272-7322",
            "fax_number": "309-272-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD J KARAS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "KARAS",
        "authorized_official_first_name": "RENATA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "309-272-7322"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "060008364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004871",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR PIN",
            "identifier": "P00114681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "0007232085",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATES OF STERLING PODIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.