Organization Active NPI

Rizvi Tiernan Podiatry PC

Doing business as Advanced Foot and Ankle Centers of Illinois

  • Podiatrist
  • Aurora, IL
National Provider Identifier
1841947371
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
RIZVI TIERNAN PODIATRY PC
Doing business as
Advanced Foot and Ankle Centers of Illinois
Practice address
3675 Darlene CT Ste B
Aurora, IL 60504-6523
Phone
(630) 415-0056
NPI assigned
Mar 4, 2022
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Dr. Zain Rizvi, DPMNPI 1285021980
Title
President
Phone
(630) 202-0319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

3675 Darlene CT Ste B
Aurora, IL 60504-6523

Mailing address

1605 Peyton Ter
Shorewood, IL 60404-1220
Phone (630) 202-0319

Other names 1

  • Advanced Foot and Ankle Centers of Illinois Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220509001222 IL Part B Supplier - Clinic/Group Practice 0547647737 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, IL

National Provider Directory

National Provider Directory

Locations

3675 Darlene Ct
Ste B
Aurora, IL 60504
Phone (630) 415-0056

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": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1841947371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 PEYTON TER",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604041220",
            "telephone_number": "630-202-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 DARLENE CT STE B",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046523",
            "telephone_number": "630-415-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIZVI TIERNAN PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-202-0319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Foot and Ankle Centers of Illinois",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Foot and Ankle Centers of Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.