Active NPI
David Alameda Jr., DPM
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
National Provider Identifier
1962408864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016003617
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000026502 28 | Other | IL | UNITED HEALTHCARE |
| 3106623-003 | Other | IL | CIGNA |
| 5852442 | Other | IL | AETNA |
| 3106623-005 | Other | IL | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 13 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 201 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016003617 | IL | MD | Public Medicine Podiatrist |
| 016-003617 | IL | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Foot Centers, PC | Foot Surgery | Current | 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
- 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.
-
- Foot Surgery Podiatrist
- Chicago, IL
- NPI 1417116609
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.