SUBURBAN PODIATRY ASSOCIATES, P.C.
NPI 1073817805
Podiatrist - Foot & Ankle Surgery in Bloomingdale, IL
About Suburban Podiatry Associates, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUBURBAN PODIATRY ASSOCIATES, P.C. (NPI 1073817805) is a healthcare organization registered as a foot & ankle surgery in Bloomingdale, Illinois and active in the NPI registry since January 2011. The organization lists Gregory Martin Jansyn, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Suburban Podiatry Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Suburban Podiatry Associates, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Suburban Podiatry Associates, P.C.'s NPI number?
The NPI number for Suburban Podiatry Associates, P.C. is 1073817805. It was assigned to this organization in the NPPES registry on January 9, 2011.
Where is Suburban Podiatry Associates, P.C. located?
Suburban Podiatry Associates, P.C. is located at 303 E Army Trail Rd Suite #101, Bloomingdale, IL 60108. The listed phone number is (630) 893-3668.
What is Suburban Podiatry Associates, P.C.'s specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Suburban Podiatry Associates, P.C. enrolled in Medicare?
Yes. Suburban Podiatry Associates, P.C. is registered in the Medicare PECOS enrollment system.
When is Suburban Podiatry Associates, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Physician - Podiatry) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Suburban Podiatry Associates, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Suburban Podiatry Associates, P.C.. 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 Suburban Podiatry Associates, P.C. was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Suburban Podiatry Associates, P.c. · NPI 1073817805
Foot & Ankle Surgery organization in Bloomingdale, Illinois. Organization record, active in the CMS NPPES registry since January 9, 2011.
## Identity
- **NPI:** 1073817805 (Entity type: Organization)
- **Enumerated:** January 9, 2011
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Gregory Jansyn, PRESIDENT
## Practice location
- **Address:** 303 E ARMY TRAIL RD, SUITE #101, Bloomingdale, IL 60108-2169
- **Phone:** (630) 893-3668 · **Fax:** (630) 893-3670
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Illinois, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2012
- **Other identifiers:** Medicare PIN 763840 (IL); Medicare NSC 4605900001 (IL); Medicare UPIN T38731 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1073817805) · Data from the CMS NPPES public registry.