DR. JASCHA OSCAR TEIBEL (DPM) – Podiatrist, NPI 1477173524

DR. JASCHA OSCAR TEIBEL (DPM) is a healthcare provider. based in Chicago, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 007336 (NY). The NPI Number for DR. JASCHA OSCAR TEIBEL (DPM) is 1477173524

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASCHA OSCAR TEIBEL (DPM)
NPI
1477173524
Phone
(585) 703-6774
Address
2022 W MELROSE ST FRNT 1F
Enumeration Date
19 April 2020
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5857862233
Graduation Year
2020 (6 years ago)
PAC ID
5597177238
Group Practice PAC ID
9335118967
Professional Enrollment ID
I20230828000572
Address ID
NY145691025WA400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for DR. JASCHA OSCAR TEIBEL (DPM)

  • 2022 W MELROSE ST FRNT 1F

    CHICAGO, IL 606186349

    Phone: (585) 703-6774

    Type: Mailing

  • 836 W WELLINGTON AVE

    CHICAGO, IL 606575147

    Phone: (585) 703-6774

    Type: Location

  • 3010 GRAND AVE

    WAUKEGAN, IL 600852321

    Phone: (585) 703-6774

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2023-03-24 • Largest payer in this snapshot: Integra LifeSciences Corporation ($167).

Total Amount

$167

General + Research + Ownership

Payments

1

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230828000572IPodiatryNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60618)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335118967View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. JASCHA OSCAR TEIBEL (DPM)'s NPI?
You can confirm DR. JASCHA OSCAR TEIBEL (DPM) with NPI 1477173524; it appears in the national provider directory.
Is DR. JASCHA OSCAR TEIBEL (DPM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. JASCHA OSCAR TEIBEL (DPM) work in?
You can think of DR. JASCHA OSCAR TEIBEL (DPM) as practicing within Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JASCHA OSCAR TEIBEL (DPM)?
The snapshot lists Chicago, Illinois for DR. JASCHA OSCAR TEIBEL (DPM); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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