Individual provider Active NPI

Jennifer Irene Kirchens, D.P.M.

  • Podiatrist
  • Arlington Heights, IL
National Provider Identifier
1174592810
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-005092 Issued in IL
Practice address
880 W Central Rd
Suite 3500
Arlington Heights, IL 60005-2355
Phone
(847) 398-8637
Fax
(847) 398-4349
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-005092 IL Primary

Addresses

Primary practice location

880 W Central Rd
Suite 3500
Arlington Heights, IL 60005-2355

Mailing address

4439 N Keystone Ave
Chicago, IL 60630-4409
Phone (773) 991-4493

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
I20040405001005 IL Practitioner - Podiatry 7719970920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Foot and Ankle ClinicsGroup PAC ID 5890873475, 4 clinicians

Practice addresses (Care Compare)

1675 S Arlington Heights Rd
Suite 101
Arlington Heights, IL 60005-3769
Phone (847) 398-8637

Hospital & facility affiliations

  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score
86.69 of 100Reported as individual
Quality
66.06
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue153
Removal of skin lesions1-10
Removal of nail tissue306
Removal or shaving of skin growth89
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-005092ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Foot & Ankle Clinics Podiatrist CurrentSince Sep 16, 2016 Accepting new patients
Aggeus Healthcare, P.C. Podiatrist Past Accepting new patients

Locations

1675 S Arlington Heights Rd
Ste 101
Arlington Heights, IL 60005
Phone (847) 398-8637

1675 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 255-0900

880 W Central Rd
Ste 3500
Arlington Hts, IL 60005
Phone (847) 398-4331

150 E Huron St
Ste 805
Chicago, IL 60611
Phone (312) 649-6565

7447 W Talcott Ave
Ste 302
Chicago, IL 60631
Phone (773) 774-2336

2260 W Higgins Rd
Ste 101
Hoffman Estates, IL 60169
Phone (847) 398-8637

Interoperability endpoints

  • Direct secure messaging: jennifer.kirchens@mfaac-il.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/12948/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1174592810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 N KEYSTONE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304409",
            "telephone_number": "773-991-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD",
            "address_2": "SUITE 3500",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052355",
            "telephone_number": "847-398-8637",
            "fax_number": "847-398-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHENS",
        "first_name": "JENNIFER",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-005092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.