LAKE SHORE PODIATRY CENTER, LLC
NPI 1366548018
Podiatrist - Foot & Ankle Surgery in Chicago, IL
NPI Status: Active since September 16, 2006
Contact Information
4733 N DAMEN AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 871-2250
Fax: (773) 697-0134
- Organization
- Podiatrist
- Foot & Ankle Surgery
About LAKE SHORE PODIATRY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Lake Shore Podiatry Center, Llc, a provider established in Chicago, Illinois operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1366548018 assigned on September 2006. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Fortunee Massuda Dpm (Medical Director & Ceo)
- NPI
- 1366548018
- Provider Name
- LAKE SHORE PODIATRY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 4733 N DAMEN AVE CHICAGO, IL 60625
- Location Phone
- (773) 871-2250
- Location Fax
- (773) 697-0134
- Mailing Address
- 9933 S WESTERN AVE SUITE 102 CHICAGO, IL 60643
- Mailing Phone
- (773) 233-3800
- Mailing Fax
- (773) 697-0134
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2006
- Last Update Date
- 07-17-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | (IL) |
| 2 | 213EP0504X | Podiatric Medicine & Surgery Service Providers | Podiatrist | (IL) |
| 3 | 213EP1101X | Podiatric Medicine & Surgery Service Providers | Podiatrist | (IL) |
| 4 | 213ES0131X | Podiatric Medicine & Surgery Service Providers | Podiatrist | (IL) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1366548018 | MEDICARE NSC (07) | IL | |
| 530120 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | MEDICARE GROUP NUMBER |
| 216-22095 | OTHER (01) | IL | BCBS |
| CH2456 | MEDICARE PIN (08) | IL |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366548018, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366548018, enumerated as an "organization" on September 16, 2006.
The provider is located at 4733 N DAMEN AVE CHICAGO, IL 60625 and the phone number is (773) 871-2250.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
