Kevin M Massard, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004988 Issued in IL

Practice address

321 W Railroad Ave
Bartlett, IL 60103-4428

Phone

(630) 213-3830

Fax

(630) 213-3895

NPI assigned

Nov 12, 2007

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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/25065/brand/1/csg/1/fhir/r4
• Direct secure messaging: kevin.massard.1@14220.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.

• Kevin M Massard LTD PC

  • Podiatrist
  • Bartlett, IL
  • NPI 1831294735
  Medicare reassignment NPD Authorized official
• Ankle N Foot Centers LLC

  • Podiatrist
  • Chicago, IL
  • NPI 1992119739
  Medicare reassignment NPD
• Ankle N Foot Centers LLC

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1053797886

  Podiatrist

  NPD

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1043490675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W RAILROAD AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034428",
            "telephone_number": "630-213-3830",
            "fax_number": "630-213-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W RAILROAD AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034428",
            "telephone_number": "630-213-3830",
            "fax_number": "630-213-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARD",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-12",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryville Academy
• Maryville Academy
• Maryville Academy
• Maryville Academy
• Maryville Academy
• Albert Mategrano Jr., DDS.
• Brian W Matosuek
• Deborah M Matthies, PTA
• Tonya Mattson
• Jessica Maturrano, MS, RDN, LDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.