Individual provider Active NPI

Marlene Reid Kosova, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1558348136
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016.004406 Issued in IL
Practice address
4805 N Claremont Ave
Chicago, IL 60625-3791
Phone
(312) 579-3150
Fax
(312) 579-3151
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016.004406 IL Primary

Addresses

Primary practice location

4805 N Claremont Ave
Chicago, IL 60625-3791

Mailing address

720 Brom CT Ste 201
Naperville, IL 60540-6534
Phone (630) 355-3668

Other practice location 1

640 S Washington St Ste 240
Naperville, IL 60540-6792
Phone (630) 355-3668

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
I20101201000038 IL Practitioner - Podiatry 5890858666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Podiatry Partners, LLCGroup PAC ID 1951662121, 4 clinicians

Practice addresses (Care Compare)

4805 N Claremont Ave
Chicago, IL 60625-3791
Phone (312) 579-3150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.004406ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Podiatry Partners, LLC Podiatrist CurrentSince Jun 1, 2026 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mreiddpm@fpcl-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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1558348136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BROM CT STE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406534",
            "telephone_number": "630-355-3668",
            "fax_number": "630-355-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 N CLAREMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253791",
            "telephone_number": "312-579-3150",
            "fax_number": "312-579-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S Washington St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605406792",
            "country_code": "US",
            "telephone_number": "630-355-3668",
            "fax_number": "630-355-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSOVA",
        "first_name": "MARLENE",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.004406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.