Individual provider Active NPI

Theodore Polizos, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1811080138
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004322 Issued in IL
Practice address
2740 W Foster Ave
Suite #205
Chicago, IL 60625-3500
Phone
(773) 271-9050
Fax
(773) 271-9051
NPI assigned
Sep 30, 2006
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Public Medicine Podiatrist 213EP0504X 016004322 IL
Primary Podiatric Medicine Podiatrist 213EP1101X 016004322 IL
Radiology Podiatrist 213ER0200X 016004322 IL
Sports Medicine Podiatrist 213ES0000X 016004322 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 016004322 IL Primary
Foot Surgery Podiatrist 213ES0131X 016004322 IL

Addresses

Primary practice location

2740 W Foster Ave
Suite #205
Chicago, IL 60625-3500

Mailing address

PO Box 95727
Hoffman Estates, IL 60195-0727
Phone (773) 271-9050

Other identifiers 3

IdentifierTypeStateIssuer
016004322MedicaidIL
01608070OtherILBCBS
480028904OtherILRRM

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
I20081003000040 IL Practitioner - Podiatry 7012085178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2740 W Foster Ave
Suite 205
Chicago, IL 60625-3525
Phone (773) 271-9050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.67 of 100Reported as individual
Quality
29.6
Promoting interoperability
0
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue403
Removal of nail tissue488
Removal or shaving of skin growth437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016004322ILMDFoot & Ankle Surgery Podiatrist

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCJCA/Endpoint/ABCJCA

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1811080138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95727",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601950727",
            "telephone_number": "773-271-9050",
            "fax_number": "773-271-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "SUITE #205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-271-9050",
            "fax_number": "773-271-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIZOS",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "IL",
            "license": "016004322",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016004322",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "IL",
            "license": "016004322",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "IL",
            "license": "016004322",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004322",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016004322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004322",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01608070",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "480028904",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.