Active NPI
Brian Joseph Chiaramonte, DPM
- Podiatrist
- Chicago, IL
National Provider Identifier
1972618635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016-004502
- Practice address
- 3303 S Halsted St
Suite 203
Chicago, IL 60608-6705 - Phone
- (773) 579-1440
- Fax
- (773) 579-0227
- NPI assigned
- Aug 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016-004502 | IL | Primary |
Addresses
Primary practice location
3303 S Halsted St
Suite 203
Chicago, IL 60608-6705
Mailing address
7060 Centennial Dr
Ste 105
Tinley Park, IL 60477-1699
Phone (773) 579-1440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016004502 | Medicaid | IL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080702000023 | IL | Practitioner - Podiatry | 1254403553 | Practice locations: Chicago, IL; Tinley Park, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-004502 | IL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532822400000",
"number": "1972618635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7060 CENTENNIAL DR",
"address_2": "STE 105",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771699",
"telephone_number": "773-579-1440",
"fax_number": "773-579-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 S HALSTED ST",
"address_2": "SUITE 203",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606086705",
"telephone_number": "773-579-1440",
"fax_number": "773-579-0227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIARAMONTE",
"first_name": "BRIAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2018-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016-004502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004502",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Laura Elizabeth Chianakas, M.S., CCC-SLP
- Christopher Chiang, M.D.
- Joshua Chiang, MD
- Taylor Jacqueline Chiang
- Nicole Chiangpradit
- Michele Chiaramonte, RD, LDN
- Chibucos and Associates Inc.
- Thomas Alexander Chibucos, M.S.
- Chicago Academy of Pain Management and Rehabilitation
- Chicago Accident & Injury Clinic LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.