Carl John Cortese, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016-002598 Issued in IL

Practice address

1607 Visa Dr Ste 5B
Normal, IL 61761-6160

Phone

(309) 452-3000

Fax

(309) 452-3668

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cortese Foot and Ankle Clinic, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Normal, IL
  • NPI 1962414961
  Medicare reassignment NPD Authorized official
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1992716914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 VISA DR STE 5B",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616160",
            "telephone_number": "309-452-3000",
            "fax_number": "309-452-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 VISA DR STE 5B",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616160",
            "telephone_number": "309-452-3000",
            "fax_number": "309-452-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTESE",
        "first_name": "CARL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-002598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016002598",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M. Elizabeth Cooper, APN
• Adrian M Cordoba, M.D.
• Olivia Marie Cornejo
• Rachel Charlotte Corrigan, PHYSICAL THERAPIST
• Cortese Foot and Ankle Clinic, P.C.
• Craig Thomas Cortese, D.P.M.
• Robert Cortez
• Dawn Cotter, CRNA
• Aubree Cottone
• Margaret Ann Couch, APRN

• Foot & Ankle Surgery Podiatrist in Normal, IL
• Providers in Normal, 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 Jan 2, 2013; 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.

Verify at the official NPI Registry.