DR. EDWIN JAMES HARRIS (D.P.M) – Foot & Ankle Surgery Podiatrist, NPI 1528056843

DR. EDWIN JAMES HARRIS (D.P.M) is a healthcare provider. based in Maywood, Illinois. specializing in PODIATRY, ORTHOPEDIC SURGERY. They hold the professional credentials D.P.M. They hold a License No. 016 002609 (IL). The NPI Number for DR. EDWIN JAMES HARRIS (D.P.M) is 1528056843

Main info

Male
Sole Proprietor
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWIN JAMES HARRIS (D.P.M)
NPI
1528056843
Phone
(708) 216-9000
Address
2160 S 1ST AVE
Enumeration Date
11 October 2005
Last Update Date
27 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082169000
Graduation Year
1970 (56 years ago)
PAC ID
8527076579
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20060403000102
Address ID
IL601533328MA2160XAVEX400

Contacts

Secure Messaging
eharris10071@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,038 PODIATRY in IL

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Provider Addresses for DR. EDWIN JAMES HARRIS (D.P.M)

  • 2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    Type: Mailing

  • 10540, West Cermak Road, Westchester, Proviso Township, Cook County, Illinois, 60154, United States

    WESTCHESTER, IL 601545250

    Phone: (708) 409-0546

    Fax: (708) 409-0552

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-04-03

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
I20060403000102IPodiatryILTBD

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 60153)

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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: 3779488903View full group profile

Reviews

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Frequently asked questions

What is DR. EDWIN JAMES HARRIS (D.P.M)'s NPI number?
DR. EDWIN JAMES HARRIS (D.P.M)'s NPI is 1528056843 — the number used across U.S. healthcare to identify this provider.
Is DR. EDWIN JAMES HARRIS (D.P.M) shown as active in public data?
Registry records indicate DR. EDWIN JAMES HARRIS (D.P.M) maintains an active NPI.
What expertise is attributed to DR. EDWIN JAMES HARRIS (D.P.M)?
DR. EDWIN JAMES HARRIS (D.P.M)'s specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. EDWIN JAMES HARRIS (D.P.M) associated with Maywood?
Public fields place DR. EDWIN JAMES HARRIS (D.P.M) around Maywood, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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