Evanston Podiatry Center
NPI 1043202559ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Evanston, IL
Podiatrist, Foot & Ankle Surgery in Evanston, Illinois, registered in NPPES in August 2005. The authorized official on file is Fortunee Massuda, DPM, Medical Director & Ceo.
Overview
| NPI | 1043202559 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2005 |
| Last updated in NPPES | Jul 3, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | — | IL |
| Podiatrist | 213E00000X | — | IL |
| Podiatrist, Public Medicine | 213EP0504X | — | IL |
| Podiatrist, Primary Podiatric Medicine | 213EP1101X | — | IL |
| Podiatrist, Foot Surgery | 213ES0131X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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