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: August 16, 2026.

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

NPI1639552029
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameLIJO JOHNCredential: DPM
Location Address1108 S KEDZIE AVEChicago, IL 60612-3935
Mailing Address1108 S Kedzie AveChicago, IL 60612-3935 · (773) 722-2712
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 2, 2015
NPI 1639552029 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
License Licensed in IL · 135000872
1108 S KEDZIE AVE, Chicago, IL 60612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1850645599
PECOS Enrollment IDI20231215001013
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
27 services26 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
16 services15 patients

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.

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

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.

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.