Organization Active NPI

Foot and Ankle Specialists of Illinois LTD

  • Foot & Ankle Surgery Podiatrist
  • Algonquin, IL
National Provider Identifier
1891172664
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE SPECIALISTS OF ILLINOIS LTD
Practice address
2430 Esplanade Drive Suite a
Algonquin, IL 60102
Phone
(847) 854-8000
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Zehra Hyderi, DPMNPI 1033282280
Title
Owner
Phone
(630) 660-6060

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

2430 Esplanade Drive Suite a
Algonquin, IL 60102

Mailing address

2430 Esplanade Drive Suite a
Algonquin, IL 60102
Phone (847) 854-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150728006397 IL Part B Supplier - Clinic/Group Practice 1557675097 Receives reassigned benefits from 2 practitioners
Practice locations: Barrington, IL; Woodstock, IL; McHenry, IL; Lake in the Hills, IL; Huntley, IL; Elgin, IL; Algonquin, IL
O20151110003145 IL DME Supplier - Physician - Podiatry 1557675097 Practice locations: Algonquin, IL

National Provider Directory

National Provider Directory

Locations

971 Bode Rd
Elgin, IL 60120
Phone (847) 695-9600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1891172664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 ESPLANADE DRIVE SUITE A",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "60102",
            "telephone_number": "847-854-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 ESPLANADE DRIVE SUITE A",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "60102",
            "telephone_number": "847-854-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPECIALISTS OF ILLINOIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "HYDERI",
        "authorized_official_first_name": "ZEHRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-660-6060",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.