NPIMap

Individual provider Active NPI

Brian L Rozanski, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Western Springs, IL
National Provider Identifier
1811931801
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005014 Issued in IL
Practice address
915 55TH St Ste 200
Western Springs, IL 60558-2267
Phone
(708) 352-5652
Fax
(708) 482-7465
NPI assigned
Jun 16, 2006
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005014 IL Primary

Addresses

Primary practice location

915 55TH St Ste 200
Western Springs, IL 60558-2267

Mailing address

915 55TH St
Ste 200
Western Springs, IL 60558-2267
Phone (708) 352-5652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622001150 IL Practitioner - Podiatry 1951346790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Bonet and Doyle PTRSGroup PAC ID 1153352349, 3 clinicians

Practice addresses (Care Compare)

915 55TH St
Suite 200
Western Springs, IL 60558-2267
Phone (708) 352-5652

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue290
Removal of skin lesions17
Removal of nail tissue158
Removal or shaving of skin growth66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005014ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Bonet and Doyle PTRS CurrentSince Jun 20, 2005 Accepting new patients
Adventist Health Partners, Inc CurrentSince Jun 20, 2024 Accepting new patients
DRS. Bonet and Doyle PTRS CurrentSince Jun 20, 2005 Accepting new patients
Orthotec Surgery Center, Inc Past Accepting new patients
Gary M Kazmer DPM Inc Foot & Ankle Surgery Past Accepting new patients
Gary J Guziec DPM LTD Foot & Ankle Surgery PastSince Feb 13, 2012 Accepting new patients

Locations

9050 W 81st St
Ste 500
Justice, IL 60458
Phone (312) 375-4788

1415 W 47th St
Lagrange Hlds, IL 60525
Phone (708) 352-5652

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

915 55th St
Ste 200
Western Springs, IL 60558
Phone (708) 352-5652

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14157/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFDBCD

Organizations & group practices 6

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 4

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1811931801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 55TH ST",
            "address_2": "STE 200",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605582267",
            "telephone_number": "708-352-5652",
            "fax_number": "877-592-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 55TH ST STE 200",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605582267",
            "telephone_number": "708-352-5652",
            "fax_number": "708-482-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZANSKI",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Western Springs, IL

Sources for this page

Verify at the official NPI Registry.