Audey Nasser Podiatry, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901002505 Issued in MI

Legal business name

AUDEY NASSER PODIATRY, PC

Practice address

731 S Il Route 21 Ste 140
Gurnee, IL 60031-3812

Phone

(847) 295-9300

Fax

(847) 295-9607

NPI assigned

Dec 1, 2015

Last updated

Oct 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Audey Nasser, DPMNPI 1558703298

Title

Podiatrist

Phone

(313) 969-9775

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• Direct secure messaging: anasser295458@direct.myadvocateaurora.org

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audey Nasser, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gurnee, IL
  • NPI 1558703298

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Krishna Tikiwala, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crystal Lake, IL
  • NPI 1457916785
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1144695263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21 STE 140",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313812",
            "telephone_number": "313-969-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21 STE 140",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313812",
            "telephone_number": "847-295-9300",
            "fax_number": "847-295-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDEY NASSER PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "AUDEY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "313-969-9775",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MI9259001",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anasser295458@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1475 E Belvidere Rd Ste 202",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600302015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1475 E Belvidere Rd Ste 202",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600302015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.