Individual provider Active NPI

Michael Schwarcz, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1932247376
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-005140 Issued in IL
Practice address
2811 W Greenleaf Ave
Chicago, IL 60645-2913
Phone
(312) 241-3555
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-005140 IL Primary

Addresses

Primary practice location

2811 W Greenleaf Ave
Chicago, IL 60645-2913

Mailing address

2811 W Greenleaf Ave
Chicago, IL 60645-2913

Other identifiers 1

IdentifierTypeStateIssuer
016-005140OtherILLIC POD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040116000900 IL Practitioner - Podiatry 5294636767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2811 W Greenleaf Ave
Chicago, IL 60645-2913
Phone (312) 241-3555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue593
Removal or shaving of skin growth256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-005140ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
My Doctor P C CurrentSince Dec 10, 2014 Accepting new patients
Northshore Surgicare Podiatrist Past Accepting new patients
Dr Ron Riegelhaupt Podiatrist Past Accepting new patients

Locations

2010 N Harlem Ave
Elmwood Park, IL 60707
Phone (708) 452-4443

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1932247376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 W GREENLEAF AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 W GREENLEAF AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452913",
            "telephone_number": "312-241-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARCZ",
        "first_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-005140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC POD",
            "identifier": "016-005140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.