Organization Active NPI

Midwest Foot & Ankle Clinics

  • Foot & Ankle Surgery Podiatrist
  • Hoffman Estates, IL
National Provider Identifier
1891828075
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004842 Issued in IL
Legal business name
MIDWEST FOOT & ANKLE CLINICS
Practice address
2260 W Higgins Rd Ste 101
Hoffman Estates, IL 60169-2432
Phone
(847) 398-8637
Fax
(855) 850-7854
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
S. Khalid Husain, DPM
Title
President
Phone
(847) 398-8637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016004842 IL Primary

Addresses

Primary practice location

2260 W Higgins Rd Ste 101
Hoffman Estates, IL 60169-2432

Mailing address

2260 W Higgins Rd Ste 101
Hoffman Estates, IL 60169-2432
Phone (847) 398-8637

Other practice location 1

1675 S Arlington Heights Rd Ste 101
Arlington Heights, IL 60005-3769
Phone (847) 398-8637

Other practice location 2

7447 W Talcott Ave Ste 515
Chicago, IL 60631-3716
Phone (773) 775-1850

Other identifiers 1

IdentifierTypeStateIssuer
016004842MedicaidIL

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080422000927 IL Part B Supplier - Clinic/Group Practice 5890873475 Receives reassigned benefits from 6 practitioners
Practice locations: Arlington Heights, IL; Chicago, IL; Hoffman Estates, IL
O20100930054888 IL DME Supplier - Physician - Podiatry 5890873475 Practice locations: Arlington HTS, IL

National Provider Directory

National Provider Directory

Locations

1675 S Arlington Heights Rd
Ste 101
Arlington Heights, IL 60005
Phone (847) 398-8637

7447 W Talcott Ave
Ste 302
Chicago, IL 60631
Phone (773) 774-2336

150 E Huron St
Ste 805
Chicago, IL 60611
Phone (312) 649-6565

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12948/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1891828075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 W HIGGINS RD STE 101",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692432",
            "telephone_number": "847-398-8637",
            "fax_number": "855-850-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 W HIGGINS RD STE 101",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692432",
            "telephone_number": "847-398-8637",
            "fax_number": "855-850-7854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 S Arlington Heights Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600053769",
            "country_code": "US",
            "telephone_number": "847-398-8637",
            "fax_number": "847-398-4349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7447 W Talcott Ave Ste 515",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313716",
            "country_code": "US",
            "telephone_number": "773-775-1850",
            "fax_number": "773-775-1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST FOOT & ANKLE CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "S. KHALID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-398-8637",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004842",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.