Individual provider Active NPI

Kathleen Marie Schafer, DPM

  • Podiatrist
  • Brookfield, IL
National Provider Identifier
1346287505
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004941 Issued in IL
Practice address
9230 Broadway Ave
Brookfield, IL 60513-1252
Phone
(708) 485-3668
NPI assigned
May 31, 2006
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004941 IL Primary

Addresses

Primary practice location

9230 Broadway Ave
Brookfield, IL 60513-1252

Mailing address

9230 Broadway Ave
Brookfield, IL 60513-1252
Phone (630) 202-6080

Other names 1

  • Dr. Kathleen Marie Schafer Professional 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
I20060622000091 IL Practitioner - Podiatry 9335151976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9230 Broadway Ave
Brookfield, IL 60513-1252
Phone (708) 485-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue57
Removal of skin lesions75
Removal of nail tissue920
Removal or shaving of skin growth569
Skin biopsy25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016004941ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kathleen M Schafer DPM Inc Podiatrist CurrentSince Apr 2, 2014 Accepting new patients

Locations

9230 Broadway Ave
Brookfield, IL 60513
Phone (708) 387-1109

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1346287505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 BROADWAY AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131252",
            "telephone_number": "630-202-6080",
            "fax_number": "630-955-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 BROADWAY AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131252",
            "telephone_number": "708-485-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SCHAFER",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brookfield, IL

Sources for this page

Verify at the official NPI Registry.