Moeed Ekbal, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

016004994 Issued in IL

Practice address

2400 N Lakeview Ave Apt 2703
Chicago, IL 60614-2741

Phone

(773) 383-8173

NPI assigned

Oct 27, 2006

Last updated

Jul 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452
  Medicare reassignment Care Compare group NPD
• Podiatry Homecare SC

  • Podiatrist
  • South Barrington, IL
  • NPI 1598184863
  Medicare reassignment NPD
• Aggeus Healthcare, P.C.

  • Podiatrist
  • Chicago, IL
  • NPI 1033156955
  NPD (past)
• Cottage Clinics, LTD.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1699966275
  NPD (past)
• Quality Podiatry Group, LTD

  • Podiatrist
  • Skokie, IL
  • NPI 1760585814

  Primary Podiatric Medicine

  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1932285509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N LAKEVIEW AVE APT 2703",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142741",
            "telephone_number": "773-383-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N LAKEVIEW AVE APT 2703",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142741",
            "telephone_number": "773-383-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKBAL",
        "first_name": "MOEED",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016004994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004994",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aslam Ejaz, M.D.
• Chukwudebelu Franklin Ejiogu
• Ejm Transportation
• Maria Ejsbrenner, DDS
• Benjamin Ejzak
• Luke Ekdahl, MD
• Lisa Onyi Eke, NP
• Erin E Ekeberg, LSW
• Odera Ekeh, MPH, MD
• Sebastian Okwuchukwu Ekenze, MD

• Primary Podiatric Medicine Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Podiatric Medicine Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.