LAKE SHORE FOOT & ANKLE, PC
NPI 1508870247
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since July 28, 2006
2623 N HALSTED ST, CHICAGO, IL 60614(773) 477-3668(773) 871-1244 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lake Shore Foot & Ankle, Pc NPPES

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

LAKE SHORE FOOT & ANKLE, PC (NPI 1508870247) is a healthcare organization registered as a foot & ankle surgery in Chicago, Illinois and active in the NPI registry since July 2006. The organization lists Lee R Stein, President, as its authorized official.

NPPES Registry Identity

NPI1508870247
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLAKE SHORE FOOT & ANKLE, PC
Location Address2623 N HALSTED STChicago, IL 60614-2393
Mailing Address2623 N Halsted StChicago, IL 60614-2393 · (773) 477-3668 · Fax (773) 871-1244
Fax(773) 871-1244
Organization SubpartNo
Authorized OfficialLee R SteinPresident · (773) 477-3668
Enumeration DateJuly 28, 2006
Last NPPES UpdateApril 30, 2015
✔ NPI 1508870247 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
2623 N HALSTED ST, Chicago, IL 60614

Other Identifiers 4

Medicare NSC4870660001IL
Medicare PIN213199IL
Other01627920IL · Bcbs
OtherDF0111IL · Railroad Medicare

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)

Lake Shore Foot & Ankle, Pc 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 Lake Shore Foot & Ankle, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1427098318
2623 N HALSTED ST
Chicago, IL 60614
(773) 477-3668
✔ 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 Lake Shore Foot & Ankle, PC's NPI number?

The NPI number for Lake Shore Foot & Ankle, PC is 1508870247. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Lake Shore Foot & Ankle, PC located?

Lake Shore Foot & Ankle, PC is located at 2623 N Halsted St, Chicago, IL 60614. The listed phone number is (773) 477-3668.

What is Lake Shore Foot & Ankle, PC's specialty?

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

Is Lake Shore Foot & Ankle, PC enrolled in Medicare?

Yes. Lake Shore Foot & Ankle, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Shore Foot & Ankle, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Lake Shore Foot & Ankle, PC. 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 Lake Shore Foot & Ankle, PC was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.