Supreet Kaur Dhaliwal

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005367 Issued in IL

Practice address

2371 Bowes Rd
Ste 400
Elgin, IL 60123

Phone

(224) 227-6973

NPI assigned

Jun 23, 2008

Last updated

Sep 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Supreet Kaur Ghuman Professional name

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Valley Wound Care Associates PCGroup PAC ID 5496702748, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217
• Presence St Joseph - Elgin Inpatient rehabilitation facility, Elgin, IL, CCN 14T217

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIHDCA/Endpoint/IIHDCA

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.

• Fox Valley Wound Care Associates, P.C.

  • Specialist
  • Aurora, IL
  • NPI 1629111331
  Medicare reassignment Care Compare group NPD
• Prairie Foot & Ankle, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Elgin, IL
  • NPI 1881936649
  Medicare reassignment NPD
• Prairie Foot & Ankle, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1346752656
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Hospital - Elgin LLC

  dba Saint Joseph Hospital

  • Rehabilitation Hospital Unit
  • Elgin, IL
  • NPI 1538978309

  Inpatient rehabilitation facility

  Care Compare affiliation
• Saint Joseph Hospital - Elgin LLC

  • General Acute Care Hospital
  • Elgin, IL
  • NPI 1922846351
  Care Compare affiliation

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1912168931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 BOWES RD",
            "address_2": "STE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "224-227-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 BOWES RD",
            "address_2": "STE 400",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "224-227-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "SUPREET",
        "middle_name": "KAUR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUPREET",
            "last_name": "GHUMAN",
            "middle_name": "KAUR",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• DHS Counseling

• Foot & Ankle Surgery Podiatrist in Elgin, IL
• Providers in Elgin, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.