LIJO JOHN DPM
NPI 1639552029
Podiatrist - Foot & Ankle Surgery in Chicago, IL
About Lijo John Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIJO JOHN DPM (NPI 1639552029) is an individual foot & ankle surgery provider in Chicago, Illinois, licensed in Illinois (135000872) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lijo John Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Lijo John reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Des Plaines, IL 60016
- Reassigned Medicare billing, Illinois enrollment
- 9 clinicians in this Medicare group
Rolling Meadows, IL 60008
- Reassigned Medicare billing, Illinois enrollment
- 7 clinicians in this Medicare group
Bethel Park, PA 15102
- Reassigned Medicare billing, Pennsylvania enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lijo John's NPI number?
The NPI number for Lijo John is 1639552029. It was assigned to this individual provider in the NPPES registry on July 2, 2015.
Where is Lijo John located?
Lijo John practices at 1108 S Kedzie Ave, Chicago, IL 60612. The listed phone number is (773) 722-2712.
What is Lijo John's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Lijo John enrolled in Medicare?
Yes. Lijo John is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lijo John's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lijo John reassigns Medicare benefits to 3 organizations: Arvind Patel M.D.S.C. (Des Plaines, IL), Mobile Foot Doctors, Inc, (Rolling Meadows, IL) and Academy Of Podiatry, Inc (Bethel Park, PA). Each 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 Lijo John's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lijo John was last updated on July 2, 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.
# Lijo John, DPM · NPI 1639552029
Foot & Ankle Surgery provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 2, 2015.
## Identity
- **NPI:** 1639552029 (Entity type: Individual)
- **Enumerated:** July 2, 2015
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 135000872 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1108 S KEDZIE AVE, Chicago, IL 60612-3935
- **Phone:** (773) 722-2712
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Arvind Patel M.D.S.C. (NPI 1174549943, Des Plaines, IL); Mobile Foot Doctors, Inc, (NPI 1912276684, Rolling Meadows, IL); Academy Of Podiatry, Inc (NPI 1073564787, Bethel Park, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 2, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1639552029) · Data from the CMS NPPES public registry.