Individual provider Active NPI

Kevin Bruce Zucker, DPM

  • Podiatrist
  • Northbrook, IL
National Provider Identifier
1497736383
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016003702 Issued in IL
Practice address
244 Arrowwood Dr
Northbrook, IL 60062-1039
Phone
(847) 778-0573
Fax
(847) 509-1320
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016003702 IL Primary

Addresses

Primary practice location

244 Arrowwood Dr
Northbrook, IL 60062-1039

Mailing address

244 Arrowwood Dr
Northbrook, IL 60062-1039
Phone (847) 778-0573

Other identifiers 1

IdentifierTypeStateIssuer
016003702MedicaidIL

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
I20070315000166 IL Practitioner - Podiatry 0345343109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zucker and Zucker PCGroup PAC ID 9234233750, 2 clinicians

Practice addresses (Care Compare)

10 E Hawthorn Pkwy
Vernon Hills, IL 60061-1462
Phone (877) 692-6219

1200 E Partridge St
Metamora, IL 61548-9619
Phone (309) 367-4300

981 Pine Tree Circle S
Buffalo Grove, IL 60089-7502
Phone (847) 438-4884

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 nail tissue3911
Removal or shaving of skin growth84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zucker & Zucker PC Podiatrist CurrentSince Jan 1, 1987 Accepting new patients
Kevin B Zucker DPM PC Podiatrist CurrentSince Mar 1, 2007 Accepting new patients

Locations

2010 N Harlem Ave
Elmwood Park, IL 60707
Phone (708) 452-4443

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1497736383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 ARROWWOOD DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621039",
            "telephone_number": "847-778-0573",
            "fax_number": "847-509-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 ARROWWOOD DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621039",
            "telephone_number": "847-778-0573",
            "fax_number": "847-509-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKER",
        "first_name": "KEVIN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003702",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.