DR. FADI ISA ISA (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1720725716

DR. FADI ISA ISA (DPM) is a healthcare provider. based in Chicago, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016006137 (IL). The NPI Number for DR. FADI ISA ISA (DPM) is 1720725716

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. FADI ISA ISA (DPM)
NPI
1720725716
Phone
(312) 820-6464
Address
1718 N Clybourn Ave
Enumeration Date
19 May 2022
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
6305483900
Graduation Year
2022 (4 years ago)
PAC ID
1759742372
Group Practice PAC ID
5991900680
Professional Enrollment ID
I20251208001198
Address ID
IL605408138NA1220XRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for DR. FADI ISA ISA (DPM)

  • 1718 N Clybourn Ave

    Chicago, IL 606147256

    Phone: (312) 820-6464

    Type: Location

  • 7857 HAMLET CT

    CANTON, MI 481871268

    Phone: (313) 608-4964

    Type: Mailing

  • 5140 N CALIFORNIA AVE

    CHICAGO, IL 606253645

    Phone: (773) 878-8200

    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: 2025-12-08

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
I20251208001198IPodiatryILTBD

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 60614)

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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: 5991900680View full group profile
NameSpecialtyState
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YIL

Reviews

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Frequently asked questions

Can I cross-check DR. FADI ISA ISA (DPM) using NPI 1720725716?
NPI 1720725716 belongs to DR. FADI ISA ISA (DPM); compare other details if you need extra assurance.
Would DR. FADI ISA ISA (DPM) appear as active to a payer?
You can treat DR. FADI ISA ISA (DPM) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. FADI ISA ISA (DPM)?
DR. FADI ISA ISA (DPM)'s specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. FADI ISA ISA (DPM)?
Travel planning: use Chicago, Illinois as the reference point for DR. FADI ISA ISA (DPM), then confirm.
Can I trust this NPI listing for DR. FADI ISA ISA (DPM)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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