Organization Active NPI

Illinois Foot and Ankle Center, S.C.

  • Foot & Ankle Surgery Podiatrist
  • Frankfort, IL
National Provider Identifier
1013386135
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005616 Issued in IL
Legal business name
ILLINOIS FOOT AND ANKLE CENTER, S.C.
Practice address
20901 S Lagrange Rd Ste 207
Frankfort, IL 60423-3213
Phone
(779) 333-7419
Fax
(779) 333-7460
NPI assigned
Sep 18, 2015
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Dr. Kelly May, D.P.M.NPI 1457648347
Title
President
Phone
(779) 333-7419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005616 IL Primary

Addresses

Primary practice location

20901 S Lagrange Rd Ste 207
Frankfort, IL 60423-3213

Mailing address

20901 S Lagrange Rd Ste 207
Frankfort, IL 60423-3213
Phone (779) 333-7419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161012001338 IL Part B Supplier - Clinic/Group Practice 1557659224 Receives reassigned benefits from 2 practitioners
Practice locations: Frankfort, IL
O20171002000405 IL DME Supplier - Physician - General Practice 1557659224 Practice locations: Frankfort, IL

National Provider Directory

National Provider Directory

Locations

20901 S Lagrange Rd
Ste 207
Frankfort, IL 60423
Phone (779) 333-7419

9645 Lincolnway Ln
Ste 104
Frankfort, IL 60423
Phone (708) 539-3246

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1013386135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20901 S LAGRANGE RD STE 207",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233213",
            "telephone_number": "779-333-7419",
            "fax_number": "779-333-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20901 S LAGRANGE RD STE 207",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233213",
            "telephone_number": "779-333-7419",
            "fax_number": "779-333-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS FOOT AND ANKLE CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "779-333-7419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.