LIJO JOHN DPM
NPI 1639552029
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since July 02, 2015PECOS EnrolledAccepts Medicare Assignment
1108 S KEDZIE AVE, CHICAGO, IL 60612(773) 722-2712 Get Directions Write a Review

NPPES record last updated: July 2, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Years of Experience 12
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LIJO JOHN

This page provides the complete NPI Profile along with additional information for Lijo John, a provider established in Chicago, Illinois with a medical specialization in Podiatrist, focusing in foot & ankle surgery and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1639552029 assigned on July 2015. The practitioner's primary taxonomy code is 213ES0103X with license number 135000872 (IL). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1639552029 Verify this NPI
Provider Name
LIJO JOHN DPM
Gender
Male
Entity Type
Individual
Location Address
1108 S KEDZIE AVE CHICAGO, IL 60612
Location Phone
(773) 722-2712
Mailing Address
1108 S KEDZIE AVE CHICAGO, IL 60612
Mailing Phone
(773) 722-2712
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
Yes
Enumeration Date
07-02-2015
Last Update Date
07-02-2015
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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.
135000872
License State
IL

Medicare Participation & PECOS Enrollment Status

Lijo John is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Lijo John is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1850645599

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231215001013

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

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Other Providers at the Same Location


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

Podiatrist (Foot Surgery)
1108 S KEDZIE AVE
CHICAGO, IL 60612
Internal Medicine
1108 S KEDZIE AVE
CHICAGO, IL 60612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639552029, enumerated as an "individual" on July 02, 2015.

The provider is located at 1108 S KEDZIE AVE CHICAGO, IL 60612 and the phone number is (773) 722-2712.

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