Individual provider Active NPI

David Alameda Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1962408864
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016003617 Issued in IL
Practice address
4959 W Belmont Ave
Chicago, IL 60641-4332
Phone
(773) 237-1122
Fax
(773) 237-1222
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 016-003617 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 016003617 IL Primary
Podiatrist 213E00000X 016003617 IL
Public Medicine Podiatrist 213EP0504X 016003617 IL
Primary Podiatric Medicine Podiatrist 213EP1101X 016-003617 IL

Addresses

Primary practice location

4959 W Belmont Ave
Chicago, IL 60641-4332

Mailing address

4959 W Belmont Ave
Chicago, IL 60641-4332
Phone (773) 237-1122

Other identifiers 4

IdentifierTypeStateIssuer
00000026502 28OtherILUNITED HEALTHCARE
3106623-003OtherILCIGNA
5852442OtherILAETNA
3106623-005OtherILCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL CHICAGO

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
I20040909000206 IL Practitioner - Podiatry 2961478078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4959 W Belmont Ave
Chicago, IL 60641-4332
Phone (773) 237-1122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions1-10
Removal of nail tissue201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016003617ILMDPublic Medicine Podiatrist
016-003617ILMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Foot Centers, PC Foot Surgery CurrentSince Jul 1, 1999 Accepting new patients

Locations

4959 W Belmont Ave
Chicago, IL 60641
Phone (773) 237-1122

3004 N Ashland Ave
Chicago, IL 60657
Phone (773) 237-1122

1508 Grand Ave
Waukegan, IL 60085
Phone (773) 237-1122

Interoperability endpoints

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

Organizations & group practices 1

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1962408864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414332",
            "telephone_number": "773-237-1122",
            "fax_number": "773-237-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414332",
            "telephone_number": "773-237-1122",
            "fax_number": "773-237-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMEDA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016-003617",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003617",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003617",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "IL",
            "license": "016003617",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016-003617",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00000026502 28",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3106623-003",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5852442",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3106623-005",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "CHICAGO",
            "affiliation": "N",
            "address_1": "4959 W Belmont Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606414332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.