FEYINTOLU MORAYO BALOGUN, D.P.M. — NPI 1730567512 (Licensed & Credentialed Podiatric Medicine & Surgery Service Providers

CMS-1500 Box 24J / 33a • NPI

1730567512

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

213E00000X (CMS 48)

Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist

Box 32 Service Location & ZIP+4

1406 S CHESTNUT DR, MT PROSPECT, IL, 60056

Official NPPES Practice Location

Practice Phone & Referral Fax

(708) 628-4520

Fax: (773) 847-4467

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1730567512 (FEYINTOLU MORAYO BALOGUN, D.P.M.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1730567512` (NPI-1 Individual Practitioner)
Provider / Legal Name	FEYINTOLU MORAYO BALOGUN, D.P.M.
Plain-English Specialty	Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist NUCC Code: `213E00000X` (Podiatrist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1406 S CHESTNUT DR, MT PROSPECT, IL, 60056
Practice Telephone / Fax	Tel: (708) 628-4520 \| Fax: (773) 847-4467
Administrative Mailing Address	2440 S LARAMIE AVE UNIT 50646, CICERO, IL, 60804-5147
Enumeration & Last Sync	Enumerated: 2015-05-12 \| CMS Record Updated: 2020-09-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1406 S CHESTNUT DR, MT PROSPECT, IL, 60056

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Plain-English Taxonomy & CMS Crosswalk (213E00000X)

What Does Taxonomy Code 213E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213E00000X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 48 (Podiatry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Podiatrist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (FEYINTOLU MORAYO BALOGUN, D.P.M.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`213ES0103X` — Podiatrist, Foot & Ankle Surgery Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery	State: OH \| License: `36.003872` \| Primary: Secondary
`213E00000X` — Podiatrist Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist	State: IL \| License: `016005873` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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FEYINTOLU MORAYO BALOGUN, D.P.M. (NPI #1730567512)