Dr James D Velarde S.C

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016003948 Issued in IL

Legal business name

DR JAMES D VELARDE S.C

Practice address

165 N Church Rd
Bensenville, IL 60106-2009

Phone

(630) 238-1111

Fax

(630) 238-0164

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Diego Velarde, DPMNPI 1780696765

Title

Podiatrist/Owner

Phone

(630) 238-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James D Velarde, DPM

  • Podiatrist
  • Bensenville, IL
  • NPI 1780696765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1972783413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N CHURCH RD",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062009",
            "telephone_number": "630-238-1111",
            "fax_number": "630-238-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N CHURCH RD",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062009",
            "telephone_number": "630-238-1111",
            "fax_number": "630-238-0164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Larkin Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601235190",
            "country_code": "US",
            "telephone_number": "630-238-1111",
            "fax_number": "630-238-0164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2816 Washington St",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600854840",
            "country_code": "US",
            "telephone_number": "630-238-1111",
            "fax_number": "630-238-0164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR JAMES D VELARDE S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "VELARDE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DIEGO",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "630-238-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003948",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Bensenville, IL
• Providers in Bensenville, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.