Individual provider Active NPI

Sara Ann Gulczynski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Frankfort, IL
National Provider Identifier
1043944572
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.006104 Issued in IL
Practice address
20901 S Lagrange Rd Ste 207
Frankfort, IL 60423-3213
Phone
(779) 333-7419
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016.006104 IL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 316.003350 IL

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 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

Enrollment IDStateProvider typePAC IDDetails
I20250805004154 IL Practitioner - Podiatry 4981113610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Foot and Ankle Center, S.C.Group PAC ID 1557659224, 2 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue102
Removal or shaving of skin growth21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.006104ILMDFoot & Ankle Surgery Podiatrist
316.003350ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Foot and Ankle Center, S.C. Foot & Ankle Surgery CurrentSince Aug 15, 2025 Accepting new patients

Locations

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1043944572",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULCZYNSKI",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.006104",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "316.003350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.