Individual provider Active NPI

Robert S Kipferl, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fox River GRV, IL
National Provider Identifier
1508957853
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Practice address
912 Northwest Hwy
Suite G6
Fox River GRV, IL 60021-1925
Phone
(847) 639-2525
Fax
(847) 639-2522
NPI assigned
Sep 28, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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 IL Primary

Addresses

Primary practice location

912 Northwest Hwy
Suite G6
Fox River GRV, IL 60021-1925

Mailing address

912 Northwest Hwy
Suite G6
Fox River GRV, IL 60021-1925
Phone (847) 639-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040107000445 IL Practitioner - Podiatry 0143129338 Reassigns benefits to 1 organization
O20100930005436 IL DME Supplier - Physician - Podiatry 0840256384 Practice locations: Fox River Grove, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Podiatry Associates LTDGroup PAC ID 8921332115, 3 clinicians

Practice addresses (Care Compare)

912 Northwest Hwy
Suite G 6
Fox River Grove, IL 60021-1925
Phone (847) 639-2525

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 tissue75
Removal of skin lesions1-10
Removal of nail tissue528
Removal or shaving of skin growth286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016003640ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates LTD PastSince Apr 28, 1998 Accepting new patients

Organizations & group practices 3

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 3

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1508957853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 NORTHWEST HWY",
            "address_2": "SUITE G6",
            "city": "FOX RIVER GRV",
            "state": "IL",
            "postal_code": "600211925",
            "telephone_number": "847-639-2525",
            "fax_number": "847-639-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 NORTHWEST HWY",
            "address_2": "SUITE G6",
            "city": "FOX RIVER GRV",
            "state": "IL",
            "postal_code": "600211925",
            "telephone_number": "847-639-2525",
            "fax_number": "847-639-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPFERL",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.