Kelsey L Krotiak, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

135.001091 Issued in IL

Practice address

5666 E State St
Rockford, IL 61108-2425

Phone

(815) 226-2000

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Podiatry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Podiatry of ChicagoGroup PAC ID 6507293222, 4 clinicians

Podiatry of Illinois PCGroup PAC ID 5991066839, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: kkrotiak@poahp-il.direct.office.nextgen.com
• Direct secure messaging: kkrotiak308631@uchospital.direct-ci.com

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.

• Podiatry of Chicago 1, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1013552074
  Medicare reassignment Care Compare group NPD
• Podiatry of Illinois, PC

  dba Podiatry of Arlington Heights

  • Foot Surgery Podiatrist
  • Arlington Heights, IL
  • NPI 1508365529
  Medicare reassignment Care Compare group NPD
• Foot Mechanics of Lake County, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Gurnee, IL
  • NPI 1194989731
  Medicare reassignment NPD
• Olympia Foot & Ankle Care, LTD.

  • Foot Surgery Podiatrist
  • Flossmoor, IL
  • NPI 1174663983
  Medicare reassignment
• Podiatry of Illinois, PC

  dba Podiatry of Arlington Heights

  • Foot & Ankle Surgery Podiatrist
  • Palatine, IL
  • NPI 1558249268
  NPD
• Michigan Ave Podiatry LLC 1

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1881026185
  NPD (past)

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1568085710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 EISENHOWER ST",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601529565",
            "telephone_number": "716-997-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082425",
            "telephone_number": "815-226-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROTIAK",
        "first_name": "KELSEY",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "135.001091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie S Krogull
• Patricia K Kroll
• Amy L. Krolow, OTR, CHT
• Philip Michael Krolow
• Amy Lynn Kroos, NP
• Shannon M Krueger, APN
• Jennie Rebecca Krull, PMHNP-BC
• Dana Kruse, RBT -17-34424
• Kathleen A Kruse
• Bianka Sara Ksiazek, DPM

• Podiatrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.