Individual provider Active NPI

Kathleen Marie Daly, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1396773693
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01600440 Issued in IL
Practice address
10431 S Kedzie Ave
Chicago, IL 60655-2017
Phone
(773) 239-8660
Fax
(773) 239-9087
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01600440 IL Primary

Addresses

Primary practice location

10431 S Kedzie Ave
Chicago, IL 60655-2017

Mailing address

2010 N Harlem Ave
Elmwood Park, IL 60707-3119
Phone (773) 239-8660

Other identifiers 1

IdentifierTypeStateIssuer
60010788OtherILBLUE CROSS BLUE SHIELD

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
I20071116000563 IL Practitioner - Podiatry 8729176235 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castle Podiatry LLCGroup PAC ID 8921430265, 3 clinicians

Practice addresses (Care Compare)

11628 S Western Ave
Chicago, IL 60643-4730
Phone (773) 941-4040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue60
Removal of skin lesions28
Removal of nail tissue690
Removal or shaving of skin growth521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
01600440ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Podiatry, LLC Podiatrist CurrentSince Jul 1, 2025 Accepting new patients

Locations

10431 S Kedzie Ave
Chicago, IL 60655
Phone (773) 239-8660

11628 S Western Ave
Chicago, IL 60643
Phone (773) 941-4040

Interoperability endpoints

  • Direct secure messaging: drdaly@kfaas-il.direct.office.nextgen.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1396773693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073119",
            "telephone_number": "773-239-8660",
            "fax_number": "773-239-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552017",
            "telephone_number": "773-239-8660",
            "fax_number": "773-239-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "01600440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60010788",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.