Individual provider Active NPI

Kristin Marie Truncale, D.P.M.

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1306236310
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016.005591 Issued in IL
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

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016.005591 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 Former name

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
I20151203000690 IL Practitioner - Podiatry 1951601582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry of Illinois PCGroup PAC ID 5991066839, 4 clinicians
Podiatry of ChicagoGroup PAC ID 6507293222, 4 clinicians

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

ProcedureNumber of procedures
Removal of tissue72
Removal of skin lesions47
Removal of nail tissue1451
Removal or shaving of skin growth801
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005591ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry of Chicago 1, P.C. Podiatrist CurrentSince Feb 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.