Active NPI
Christine Celeste Kancius, DPM
- Podiatrist
- Morton, IL
National Provider Identifier
1013928365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Practice address
- 1945 S Main St
Morton, IL 61550 - Phone
- (309) 263-1017
- Fax
- (309) 266-5864
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | IL | Primary |
Addresses
Primary practice location
1945 S Main St
Morton, IL 61550
Mailing address
3827 N Prospect Rd
Peoria, IL 61616
Phone (309) 686-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA0891 | Other | IL | PALMETTO GBA- RAILROAD ME |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1945 S Main St
Morton, IL 61550-2968
Phone (309) 263-1017
Hospital & facility affiliations
- Saint Francis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.33 of 100
- Quality
- 66.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 22 |
| Removal of skin lesions | 78 |
| Removal of nail tissue | 289 |
| Removal or shaving of skin growth | 287 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Podiatry Group, PC | Podiatrist | Current | Accepting new patients |
Locations
1945 S Main St
Morton, IL 61550
Phone (309) 263-1017
3827 N Prospect Rd
Peoria Hts, IL 61616
Phone (309) 686-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/19358/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Peoria, IL
- NPI 1184731663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1013928365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3827 N PROSPECT RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "61616",
"telephone_number": "309-686-1000",
"fax_number": "309-686-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 S MAIN ST",
"city": "MORTON",
"state": "IL",
"postal_code": "61550",
"telephone_number": "309-263-1017",
"fax_number": "309-266-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANCIUS",
"first_name": "CHRISTINE",
"middle_name": "CELESTE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA- RAILROAD ME",
"identifier": "DA0891",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.