Mark A Konieczny, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016003378 Issued in IL

Practice address

1220 Hobson Rd
Ste 248
Naperville, IL 60540-8138

Phone

(630) 355-9811

Fax

(630) 548-3905

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Valley Foot Specialists,LTDGroup PAC ID 5991900680, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19977/brand/1/csg/1/fhir/r4
• Direct secure messaging: mark.konieczny.1@19977.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fox Valley Foot Specialists,LTD

  • Podiatric Clinic/Center
  • Naperville, IL
  • NPI 1649546532
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1003896978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HOBSON RD",
            "address_2": "STE 248",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408138",
            "telephone_number": "630-355-9811",
            "fax_number": "630-548-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HOBSON RD",
            "address_2": "STE 248",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408138",
            "telephone_number": "630-355-9811",
            "fax_number": "630-548-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIECZNY",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia I Kolas, MS, LMFT, LCPC
• Courtnay Kondas
• Kathleen Suzanne Konecki, MS, CCC-SLP
• Konick and Associates, PC
• Lisa Callio Konick, PHD
• Jared Konner
• John R. Konny, LCSW
• Amber Konopa, LCPC, CADC, CTRS
• Robyn Konrad
• Kendra Mary Koopman

• Podiatrist in Naperville, IL
• Providers in Naperville, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.