LIBERTYVILLE ANKLE & FOOT CLINIC, INC
NPI 1487630406
Podiatrist - Foot & Ankle Surgery in Libertyville, IL

NPI Status: Active since December 21, 2005

Contact Information

1017 W PARK AVE
SUITE A
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 362-1320
Fax: (847) 362-1823

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About LIBERTYVILLE ANKLE & FOOT CLINIC, INC

This page provides the complete NPI Profile along with additional information for Libertyville Ankle & Foot Clinic, Inc, a provider established in Libertyville, Illinois operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1487630406 assigned on December 2005. The practitioner's primary taxonomy code is 213ES0103X with license number 016-005031 (IL). The provider is registered as an organization and their NPI record was last updated 12 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 Scott A Jacobsen Dpm (Owner)

NPI
1487630406
Provider Name
LIBERTYVILLE ANKLE & FOOT CLINIC, INC
Entity Type
Organization
Location Address
1017 W PARK AVE SUITE A LIBERTYVILLE, IL 60048
Location Phone
(847) 362-1320
Location Fax
(847) 362-1823
Mailing Address
1017 W PARK AVE SUITE A LIBERTYVILLE, IL 60048
Mailing Phone
(847) 362-1320
Mailing Fax
(847) 362-1823
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2005
Last Update Date
07-25-2014
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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 No.
016-005031
License State
IL

Group Taxonomy 193400000X 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT A JACOBSEN DPM

Authorized Official Title
OWNER
Authorized Official Phone
(847) 362-1320

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
04932511OTHER (01)ILBLUECROSS
U90921MEDICARE UPIN (02) 
4302510001MEDICARE NSC (07)IL 
P00347050OTHER (01)ILRAILROAD MEDICARE
016005031MEDICAID (05)IL 
213648MEDICARE 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 1487630406, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 6 → 12 → 3 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 1 + 2 + 3 + 0 + 4 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1487630406.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Physical Therapy)
1017 W PARK AVE, SUITE B
LIBERTYVILLE, IL 60048
Physical Therapist
1017 W PARK AVE, SUITE B
LIBERTYVILLE, IL 60048

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487630406, enumerated as an "organization" on December 21, 2005.

The provider is located at 1017 W PARK AVE SUITE A LIBERTYVILLE, IL 60048 and the phone number is (847) 362-1320.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.