Active NPI
Summit Foot and Ankle Center P.C.
- Foot & Ankle Surgery Podiatrist
- Oak Park, IL
National Provider Identifier
1861115404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- SUMMIT FOOT AND ANKLE CENTER P.C.
- Practice address
- 1515 N Harlem Ave Ste 100
Oak Park, IL 60302-1205 - Phone
- (708) 390-9517
- NPI assigned
- Sep 20, 2022
- Last updated
- Sep 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tanvi Kadakia, DPM
- Title
- Authorized Official
- Phone
- (630) 770-2197
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
1515 N Harlem Ave Ste 100
Oak Park, IL 60302-1205
Mailing address
801 S Financial PL Apt 3205
Chicago, IL 60605-1790
Phone (708) 390-9517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1663632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663891200000",
"number": "1861115404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S FINANCIAL PL APT 3205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606051790",
"telephone_number": "708-390-9517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N HARLEM AVE STE 100",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021205",
"telephone_number": "708-390-9517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT FOOT AND ANKLE CENTER P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A",
"authorized_official_last_name": "KADAKIA",
"authorized_official_first_name": "TANVI",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "630-770-2197",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.