Individual provider Active NPI

James G Elipas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1851389761
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0160031091 Issued in IL
Practice address
6304 N Nagle Ave
1St Floor
Chicago, IL 60646-3614
Phone
(773) 853-0081
Fax
(773) 853-2970
NPI assigned
Oct 13, 2005
Last updated
Feb 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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 0160031091 IL Primary

Addresses

Primary practice location

6304 N Nagle Ave
1St Floor
Chicago, IL 60646-3614

Mailing address

6304 N Nagle Ave
1St Floor
Chicago, IL 60646-3614
Phone (773) 853-0081

Other identifiers 3

IdentifierTypeStateIssuer
60001157OtherILBCBS
016003109MedicaidIL
648120OtherILMEDICARE INDIVIDUAL NUMBE

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
I20050223000763 IL Practitioner - Podiatry 8628021243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1221 S Edgewater
Morris, IL 60450-2508
Phone (815) 416-6200

12450 Regency Pkwy
Huntley, IL 60142-5800
Phone (847) 669-5185

2801 Algonquin Rd
Rolling Meadows, IL 60008-3823
Phone (847) 670-8080

3350 Charles J Miller Rd
McHenry, IL 60050-8201
Phone (815) 759-9300

4343 W 123Rd St
Sertoma Centre
Alsip, IL 60803-1807
Phone (708) 371-9700

6304 N Nagle Ave
Suite 1
Chicago, IL 60646-3619
Phone (773) 853-0081

Merit-based Incentive Payment System (MIPS)

Final score
77.5 of 100Reported as group
Quality
35
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue93
Removal of nail tissue2352
Removal or shaving of skin growth1887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0160031091ILMDFoot & Ankle Surgery Podiatrist

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1851389761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 N NAGLE AVE",
            "address_2": "1ST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463614",
            "telephone_number": "773-853-0081",
            "fax_number": "773-853-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 N NAGLE AVE",
            "address_2": "1ST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463614",
            "telephone_number": "773-853-0081",
            "fax_number": "773-853-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIPAS",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "0160031091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60001157",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003109",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NUMBE",
            "identifier": "648120",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.