NPIMap

Organization Active NPI

Northwest Podiatry Center

  • Foot & Ankle Surgery Podiatrist
  • Wheaton, IL
National Provider Identifier
1316030943
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
162778 Issued in IL
Legal business name
NORTHWEST PODIATRY CENTER
Practice address
705 Warrenville Rd Ste B
Wheaton, IL 60189-6379
Phone
(630) 668-8277
Fax
(630) 668-3358
NPI assigned
Oct 2, 2006
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Kimberly Miller
Title
Director of RCM
Phone
(248) 331-7908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 162778 IL Primary

Addresses

Primary practice location

705 Warrenville Rd Ste B
Wheaton, IL 60189-6379

Mailing address

PO Box 779331
Chicago, IL 60677-0438
Phone (888) 402-0202

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000975 IL Part B Supplier - Clinic/Group Practice 0749180636 Receives reassigned benefits from 8 practitioners
Practice locations: Aurora, IL; Wheaton, IL; Streamwood, IL; South Elgin, IL; Huntley, IL; Dekalb, IL; Niles, IL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2124 Ogden Ave
Ste 101
Aurora, IL 60504
Phone (630) 585-8087

12525 Regency Pkwy
Huntley, IL 60142
Phone (815) 356-0500

31 S Sutton Rd
Streamwood, IL 60107
Phone (630) 830-2155

705 Warrenville Rd
Ste B
Wheaton, IL 60189
Phone (630) 668-8277

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1316030943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779331",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770438",
            "telephone_number": "888-402-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WARRENVILLE RD STE B",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601896379",
            "telephone_number": "630-668-8277",
            "fax_number": "630-668-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PODIATRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "248-331-7908"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "162778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "705 Warrenville Rd Ste B",
            "city": "Wheaton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601896379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.