Individual provider Active NPI

Michael Robert Owens, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterloo, IA
National Provider Identifier
1841869724
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
109315 Issued in IA
Practice address
3421 W 9TH St
Waterloo, IA 50702-5401
Phone
(319) 272-2529
Fax
(319) 272-2557
NPI assigned
Jun 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 109315 IA Primary

Addresses

Primary practice location

3421 W 9TH St
Waterloo, IA 50702-5401

Mailing address

3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-2529

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
I20240724002875 IL Practitioner - Podiatry 2163968397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Illinois Foot and Ankle Specialists, LTDGroup PAC ID 1355566183, 18 clinicians

Practice addresses (Care Compare)

750 E Terra Cotta Ave
Suite C
Crystal Lake, IL 60014-3621
Phone (847) 639-5800

Hospital & facility affiliations

  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue195
Removal of skin lesions110
Removal of nail tissue1067
Removal or shaving of skin growth640
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109315IAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince Jul 12, 2024 Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince Jul 12, 2024 Accepting new patients
Bloomingdale Foot & Ankle Associates, Inc PastSince Oct 3, 2012 Accepting new patients

Locations

125 E Central Rd
Arlington Hts, IL 60005
Phone (847) 255-0330

111 E Lake St
Ste 2
Bloomingdale, IL 60108
Phone (630) 894-3000

113 W Main St
Cary, IL 60013
Phone (708) 639-5800

5600 W Addison St
Chicago, IL 60634
Phone (773) 202-8444

7447 W Talcott Ave
Ste 214
Chicago, IL 60631
Phone (773) 594-9700

750 E Terra Cotta Ave
Ste A
Crystal Lake, IL 60014
Phone (815) 455-1800

750 E Terra Cotta Ave
Ste C
Crystal Lake, IL 60014
Phone (815) 455-0800

Interoperability endpoints

  • Direct secure messaging: mowens794517@direct.unitypoint.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1841869724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-2529",
            "fax_number": "319-272-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-2529",
            "fax_number": "319-272-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "109315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.