MICHAEL SANGWOO AN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1265060149
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
Provider Addresses for MICHAEL SANGWOO AN (DPM)
101 NICOLLS RD
STONY BROOK, NY 117940001
Phone: (631) 689-8333
Type: Mailing
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
19 E Shawnee Dr Ste 3
Murphysboro, IL 629667072
Phone: (618) 565-1000
Fax: (618) 565-1010
Type: Location
2448 Federal St Unit 1
Philadelphia, PA 191462432
Phone: (615) 830-2427
Type: Location
408 Lincoln Dr Ste B
Herrin, IL 629483790
Phone: (618) 993-0900
Fax: (618) 993-9994
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $1,780.
Total Amount is formed as General ($1,780) + Research ($0) + Ownership ($0) = $1,780.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Arthrex, Inc. ($1,347).
Total Amount
$1,780
General + Research + Ownership
Payments
22
Total payment records
General Amount
$1,780
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $1,347 |
| Kerecis Limited | $240 |
| Stryker Corporation | $101 |
| TREACE MEDICAL CONCEPTS, INC. | $92 |
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: 2024-09-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240917001899 | I | Podiatry | IL | TBD |
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.
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 11794)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| Emergency Medicine | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| - | IL | |
| N E U R O L O G Y | IL | |
| U R O L O G Y | IL |
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