SOUTHSHORE FOOT AND ANKLE SURGERY
NPI 1053775593
Podiatrist - Foot & Ankle Surgery in Joliet, IL

Active since April 11, 2016
1026 ESSINGTON RD, JOLIET, IL 60435(714) 244-0101 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southshore Foot And Ankle Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSHORE FOOT AND ANKLE SURGERY (NPI 1053775593) is a healthcare organization registered as a foot & ankle surgery in Joliet, Illinois and active in the NPI registry since April 2016. The organization lists An Duy Le, Owner, as its authorized official.

NPPES Registry Identity

NPI1053775593
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameESSINGTON MEDICAL GROUP, INC
Location Address1026 ESSINGTON RDJoliet, IL 60435-2841
Mailing Address1026 Essington RdJoliet, IL 60435-2841 · (714) 244-0101
Organization SubpartNo
Authorized OfficialAn Duy LeOwner · (714) 244-0101
Enumeration DateApril 11, 2016
Last NPPES UpdateJuly 27, 2016
✔ NPI 1053775593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016005698
1026 ESSINGTON RD, Joliet, IL 60435

Other Names 1

Doing Business AsSouthshore Foot And Ankle Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southshore Foot And Ankle Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southshore Foot And Ankle Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1215377841
1026 ESSINGTON RD
Joliet, IL 60435
(714) 244-0101
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Essington Medical Group, Inc's NPI number?

The NPI number for Essington Medical Group, Inc is 1053775593. It was assigned to this organization in the NPPES registry on April 11, 2016. The provider is doing business as Southshore Foot And Ankle Surgery.

Where is Essington Medical Group, Inc located?

Essington Medical Group, Inc is located at 1026 Essington Rd, Joliet, IL 60435. The listed phone number is (714) 244-0101.

What is Essington Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Essington Medical Group, Inc enrolled in Medicare?

Yes. Essington Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Essington Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Essington Medical Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Essington Medical Group, Inc was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.