Individual provider Active NPI

Paul F. Brezinski, D.P.M.

  • Podiatrist
  • Palatine, IL
National Provider Identifier
1962513804
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Practice address
1590 N Rand Rd
Suite H
Palatine, IL 60074-8510
Phone
(847) 359-5550
Fax
(847) 359-6484
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X IL Primary

Addresses

Primary practice location

1590 N Rand Rd
Suite H
Palatine, IL 60074-8510

Mailing address

1590 N Rand Rd
Suite H
Palatine, IL 60074-8510
Phone (847) 359-5550

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
I20071215000043 IL Practitioner - Podiatry 6507956497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

317 E Dundee Rd
Palatine, IL 60074-2812
Phone (847) 359-5550

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions16
Removal of nail tissue648
Removal or shaving of skin growth339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-003000ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul F Brezinski DPM PC CurrentSince Jan 1, 1992 Accepting new patients

Locations

2180 Bloomingdale Rd
Glendale Hts, IL 60139
Phone (630) 351-4545

317 E Dundee Rd
Palatine, IL 60074
Phone (847) 359-1600

1590 N Rand Rd
Ste H
Palatine, IL 60074
Phone (847) 331-0446

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962513804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 N RAND RD",
            "address_2": "SUITE H",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600748510",
            "telephone_number": "847-359-5550",
            "fax_number": "847-359-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 N RAND RD",
            "address_2": "SUITE H",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600748510",
            "telephone_number": "847-359-5550",
            "fax_number": "847-359-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZINSKI",
        "first_name": "PAUL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.