Individual provider Active NPI

Michelle M Kim, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lemont, IL
National Provider Identifier
1356458673
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-005207 Issued in IL
Practice address
14236 McCarthy Road
Lemont, IL 60439
Phone
(630) 863-7517
Fax
(630) 863-7519
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 016-005207 IL Primary

Addresses

Primary practice location

14236 McCarthy Road
Lemont, IL 60439

Mailing address

9400 S Cicero Ave Ste 100
Oak Lawn, IL 60453-2536
Phone (708) 424-3201

Other identifiers 1

IdentifierTypeStateIssuer
016005207MedicaidIL

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
I20070226000206 IL Practitioner - Podiatry 7719089598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DM Foot and Ankle Associates, LLCGroup PAC ID 5395831812, 2 clinicians

Practice addresses (Care Compare)

14236 McCarthy Rd
Lemont, IL 60439-9393
Phone (630) 863-7517

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

Merit-based Incentive Payment System (MIPS)

Final score
99.4 of 100Reported as group
Quality
100
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of skin lesions1-10
Removal of nail tissue687
Removal or shaving of skin growth609
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-005207ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
DM Foot and Ankle Associates LLC Foot & Ankle Surgery CurrentSince Jan 15, 2008 Accepting new patients
Donets Foot and Ankle PC Foot & Ankle Surgery PastSince Nov 18, 2025 Accepting new patients

Locations

14236 McCarthy Rd
Lemont, IL 60439
Phone (630) 863-7517

9400 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (816) 673-3522

Interoperability endpoints

  • Direct secure messaging: michelle.kim.1@11102.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11102/brand/1/csg/1/fhir/r4

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 1

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1356458673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S CICERO AVE STE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532536",
            "telephone_number": "708-424-3201",
            "fax_number": "708-424-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14236 MCCARTHY ROAD",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "630-863-7517",
            "fax_number": "630-863-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-005207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005207",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

Verify at the official NPI Registry.