Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Beverly Podiatry Center, LLC

Q: What type of organization is Beverly Podiatry Center, LLC?

Beverly Podiatry Center, LLC is registered in NPPES as a Foot & Ankle Surgery Podiatrist (its primary provider taxonomy).

Foot & Ankle Surgery Podiatrist in Chicago, IL · enumerated 2005 · authorized official Fortunee Massuda, Medical Director/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790777118

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Registry record

Entity type Organization (Type 2)

Legal business name Beverly Podiatry Center, LLC

Practice address 9933 S Western Ave, Suite 102, Chicago, IL, 60643

Phone (773) 445-8700

Fax (773) 445-4646

Enumeration date Aug 22, 2005

Last updated in NPPES Nov 12, 2009

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

213EP0504X Public Medicine Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

213EP1101X Primary Podiatric Medicine Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Primary

213ES0131X Foot Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

Authorized official

Name Fortunee Massuda

Title Medical Director/Ceo

Phone (773) 445-8700

Other identifiers

Identifier	Type	State	Issuer
600-15186	Other	IL	BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Beverly Podiatry Center, LLC?

Beverly Podiatry Center, LLC is registered in NPPES as a Foot & Ankle Surgery Podiatrist (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-12.