Timothy T Horak, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016-004735 Issued in IL

Practice address

1757 Ridge Rd
Homewood, IL 60430-1812

Phone

(708) 799-7500

Fax

(708) 798-4563

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aggeus Healthcare, P.C.

  • Podiatrist
  • Chicago, IL
  • NPI 1033156955
  NPD (past)
• Anesthesia Advocates, PC

  • Anesthesiology Physician
  • New Lenox, IL
  • NPI 1790797710
  NPD (past)
• Asg Onsite Podiatry of Il 1 PC

  • Podiatrist
  • Chicago, IL
  • NPI 1710231584
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1922012046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 RIDGE RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301812",
            "telephone_number": "708-799-7500",
            "fax_number": "708-798-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 RIDGE RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301812",
            "telephone_number": "708-799-7500",
            "fax_number": "708-798-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAK",
        "first_name": "TIMOTHY",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01632534",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00425132",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "4618176",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Homewood Flossmoor Medical Associates SC
• Homewood Naprapathic Pain Management Center, P.C.
• Homewood Oral Surgery PC
• Homewood School District #153
• Kayla Hoover, LCPC
• Matthew L Horowitz, M.D.
• Holly Ouida Houston, PH.D.
• Howard Intervention Center
• Deborah Hoyles, MSW, LCSW
• Rebecca J Hudson, DMD

• All providers in Homewood, IL
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.