Active NPI
Kristin Marie Truncale, D.P.M.
- Podiatrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016.005591
- Practice address
- 1710 W North Ave
Chicago, IL 60622-2125 - Phone
- (847) 406-9053
- NPI assigned
- Jan 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016.005591 | IL | Primary |
Addresses
Primary practice location
1710 W North Ave
Chicago, IL 60622-2125
Mailing address
1710 W North Ave
Chicago, IL 60622-2125
Phone (847) 406-9053
Other names 1
- Dr. Kristin Marie Sherrick
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 W Palatine Rd
Palatine, IL 60067-5122
Phone (847) 255-5004
6560 W Higgins Ave
Chicago, IL 60656-2161
Phone (773) 775-0300
8 N Dunton Ave
Arlington Heights, IL 60005-1426
Phone (847) 255-5004
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 72 |
| Removal of skin lesions | 47 |
| Removal of nail tissue | 1451 |
| Removal or shaving of skin growth | 801 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.005591 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry of Chicago 1, P.C. | Podiatrist | Current | Accepting new patients |
Locations
8 N Dunton Ave
Arlington Hts, IL 60005
Phone (847) 255-5004
6560 W Higgins Ave
Chicago, IL 60656
Phone (773) 763-2500
Interoperability endpoints
- drtruncale@poahp-il.direct.office.nextgen.com
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.
-
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
- NPI 1013552074
-
- Foot Surgery Podiatrist
- Arlington Heights, IL
- NPI 1508365529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1306236310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222125",
"telephone_number": "847-406-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222125",
"telephone_number": "847-406-9053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUNCALE",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-28",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016.005591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "SHERRICK",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "D.P.M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.