Individual provider Active NPI

Karla Stipati, DPM

  • Foot & Ankle Surgery Podiatrist
  • St Charles, IL
National Provider Identifier
1265443386
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004993 Issued in IL
Practice address
2320 Dean St
Suite 104
Saint Charles, IL 60175-1068
Phone
(630) 584-4200
Fax
(630) 584-4257
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016004993 IL Primary

Addresses

Primary practice location

2320 Dean St
Suite 104
Saint Charles, IL 60175-1068

Mailing address

2320 Dean St
Suite 104
Saint Charles, IL 60175-1068
Phone (630) 584-4200

Other identifiers 4

IdentifierTypeStateIssuer
490033716OtherILRAILROAD MEDICARE
480033716OtherILRAILROAD MEDICARE
01632760OtherILBCBS
016004993MedicaidIL

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
I20040824000137 IL Practitioner - Podiatry 9032183223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Foot and Ankle Center PCGroup PAC ID 2961594304, 2 clinicians

Practice addresses (Care Compare)

2320 Dean St
Suite 104
St Charles, IL 60175-1068
Phone (630) 584-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016004993ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Foot and Ankle Center PC Foot & Ankle Surgery CurrentSince Jun 27, 2009 Accepting new patients
Paul Santangelo DPM PC Foot & Ankle Surgery Past Accepting new patients

Locations

2320 Dean St
Ste 104
St Charles, IL 60175
Phone (630) 523-4747

Interoperability endpoints

  • Direct secure messaging: kstipati287583@direct.myadvocateaurora.org

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 2

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1265443386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 DEAN ST",
            "address_2": "SUITE 104",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751068",
            "telephone_number": "630-584-4200",
            "fax_number": "630-584-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DEAN ST",
            "address_2": "SUITE 104",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751068",
            "telephone_number": "630-584-4200",
            "fax_number": "630-584-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIPATI",
        "first_name": "KARLA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490033716",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033716",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01632760",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004993",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.