Individual provider Active NPI

Kevin Alexander, DPM

  • Foot & Ankle Surgery Podiatrist
  • Deerfield, IL
National Provider Identifier
1073078085
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005918 Issued in IL
Practice address
707 Lake Cook Rd Ste 130
Deerfield, IL 60015-4938
Phone
(847) 498-4998
NPI assigned
Feb 4, 2019
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001404 GA
Podiatrist 213E00000X 07001343A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005918 IL Primary

Addresses

Primary practice location

707 Lake Cook Rd Ste 130
Deerfield, IL 60015-4938

Mailing address

2443 N 73Rd CT
Elmwood Park, IL 60707-1926

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20210316000848 IL Practitioner - Podiatry 1355762683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harry Papagianis PodiatryGroup PAC ID 9830195924, 2 clinicians

Practice addresses (Care Compare)

6225 Dempster St
Morton Grove, IL 60053-2818
Phone (847) 965-6323

707 Lake Cook Rd
Suite 130
Deerfield, IL 60015-4938
Phone (847) 498-4998

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue159
Removal of skin lesions1-10
Removal of nail tissue13
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001404GAMDPodiatrist
016.005918ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harry Papagianis Podiatry Foot & Ankle Surgery CurrentSince Feb 1, 2024 Accepting new patients
Elgin Foot & Ankle Center, S.C. Podiatrist CurrentSince Mar 15, 2021 Accepting new patients
Munster Radiology Group PC PastSince May 1, 2020 Accepting new patients

Locations

707 Lake Cook Rd
Ste 1
Deerfield, IL 60015

707 Lake Cook Rd
Ste 130
Deerfield, IL 60015
Phone (847) 498-4998

750 Fletcher Dr
Ste 300
Elgin, IL 60123
Phone (847) 741-3127

5301 Dempster St
Ste 210
Skokie, IL 60077
Phone (708) 747-8994

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1073078085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 N 73RD CT",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607071926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD STE 130",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154938",
            "telephone_number": "847-498-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001404",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001343A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "750 Fletcher Dr Ste 300",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.