SOUTHWEST MEDICAL AFFILIATES, PC
SOUTHWEST MEDICAL AFFILIATES, PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1760603054, based in Chicago Ridge, IL. The organization lists 3 taxonomy classifications, with Foot & Ankle Surgery Podiatrist recorded as primary.
Getting there
The practice address on file is 5630 111TH ST, Chicago Ridge, IL 60415. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 036063034 | IL | Internal Medicine Physician |
| 036063793 | IL | Pediatrics Physician |
| 016004378 | IL | Foot & Ankle Surgery Podiatrist primary |
This provider holds licence 036063034 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Foot & Ankle Surgery covers
Definition to come... NUCC Health Care Provider Taxonomy, code 213ES0103X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | 036063034 | IL | |
| 208000000X | Pediatrics Physician | 036063793 | IL | |
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | 016004378 | IL | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1760603054 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 2, 2007 |
| Last updated | Nov 20, 2012 |
| Status | Active |
| Practice address |
5630 111TH ST Chicago Ridge, IL 60415 (708) 857-5800 Fax (708) 857-5805 |
| Other identifiers |
016004378
· Medicaid (IL) 036063034 · Medicaid (IL) 036063793 · Medicaid (IL) 1407861982 · Other (IL) 1629084116 · Other (IL) 1972519486 · Other (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 6 | 0 | 6 | 0 | 3 | 0 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 3 | 0 | 3 | 0 | 6 | 0 | 1 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.