Individual provider Active NPI

Kristina Dugandzic, DPM

  • Foot & Ankle Surgery Podiatrist
  • Independence, OH
National Provider Identifier
1043258445
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003503 Issued in OH
Practice address
6701 Rockside Rd Ste 340
Independence, OH 44131-2351
Phone
(330) 644-4303
Fax
(844) 269-8699
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006118 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003503 OH Primary

Addresses

Primary practice location

6701 Rockside Rd Ste 340
Independence, OH 44131-2351

Mailing address

6701 Rockside Rd Ste 340
Independence, OH 44131-2351
Phone (330) 644-4303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20091021000403 OH Practitioner - Podiatry 0547295677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Health and Wellness, LLC Foot & Ankle Surgery CurrentSince Jan 3, 2013 Accepting new patients
John Balko and Associates Inc Podiatrist PastSince Jan 1, 2000 Accepting new patients
Hospice of Ohio, LLC Past Accepting new patients
Northeastern Ohio Foot & Ankle Surgical Associates, Inc. Foot & Ankle Surgery Past Accepting new patients

Locations

2717 S Arlington Rd
Ste G
Akron, OH 44312
Phone (330) 644-4303

6701 Rockside Rd
Ste 340
Independence, OH 44131
Phone (216) 520-0033

Interoperability endpoints

  • Direct secure messaging: kristina.dugandzic.1@8756.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8756/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1043258445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD STE 340",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312351",
            "telephone_number": "330-644-4303",
            "fax_number": "844-269-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD STE 340",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312351",
            "telephone_number": "330-644-4303",
            "fax_number": "844-269-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGANDZIC",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006118",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.