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FORTUNEE MASSUDA DPM NPI 1952307019


NPI Information

NPI: 1952307019
Provider Name: FORTUNEE MASSUDA, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1644 E 53RD ST
CHICAGO, IL
ZIP 60615
Phone: (773) 752-2111
Get Directions

Fortunee Massuda, DPM is a foot and ankle surgery podiatrist in Chicago, IL. Fortunee Massuda, DPM NPI is 1952307019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1644 E 53RD ST
CHICAGO, IL
ZIP 60615-210
Phone: (773) 752-2111
Fax: (773) 752-6703

The NPI 1952307019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/23/2005 and was last updated on 11/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist016003113ILLINOISNo
2213EP0504XPodiatristPublic Medicine016003113ILLINOISNo
3213EP1101XPodiatristPrimary Podiatric Medicine07000479AINDIANANo
4213ES0131XPodiatristFoot Surgery07000479AINDIANANo
5213ES0103XPodiatristFoot & Ankle Surgery07000479AINDIANANo
6213E00000XPodiatrist07000479AINDIANANo
7213EP0504XPodiatristPublic Medicine07000479AINDIANANo
8213EP1101XPodiatristPrimary Podiatric Medicine016-003113ILLINOISNo
9213ES0131XPodiatristFoot Surgery016-003113ILLINOISNo
10213ES0103XPodiatristFoot & Ankle Surgery016003113ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15007670004MEDICARE NSCINDIANA
25007670001MEDICARE NSCINDIANA
3L78200MEDICARE PINILLINOIS
4L22760MEDICARE PINILLINOIS
500000246499 65OTHERILLINOISUNITED HEALTHCARE
60852850001MEDICARE NSCILLINOIS
7P15866MEDICARE PINILLINOIS
8210580CMEDICARE PININDIANA
94951050002MEDICARE NSCILLINOIS
100852860002MEDICARE NSCILLINOIS
110852850007MEDICARE NSCILLINOIS
125506750001MEDICARE NSCILLINOIS
134951050003MEDICARE NSCILLINOIS
14212062MEDICARE PINILLINOIS
155007670003MEDICARE NSCINDIANA
161374072-002OTHERILLINOISCIGNA
171374072-010OTHERILLINOISCIGNA
18T37552MEDICARE UPINILLINOIS
19200-120890MEDICAIDINDIANA
201952307019MEDICARE PINILLINOIS
214029837OTHERILLINOISAETNA
22L22239OTHERILLINOISPIN NUMBER
23000000314554OTHERINDIANAANTHEM
244951050001MEDICARE NSCILLINOIS
25P15865MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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