Organization Active NPI

Tri-County Podiatry Associates LTD

  • Foot & Ankle Surgery Podiatrist
  • Fox River Grove, IL
National Provider Identifier
1609182344
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016003640 Issued in IL
Legal business name
TRI-COUNTY PODIATRY ASSOCIATES LTD
Practice address
912 Northwest Hwy
Suite G-6
Fox River Grove, IL 60021-1925
Phone
(847) 639-2525
Fax
(847) 639-2522
NPI assigned
Aug 19, 2010
Last updated
Apr 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Dr. Robert S. Kipferl, D.P.M.NPI 1508957853
Title
Partner
Phone
(847) 639-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016003640 IL Primary

Addresses

Primary practice location

912 Northwest Hwy
Suite G-6
Fox River Grove, IL 60021-1925

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190621000810 IL Part B Supplier - Clinic/Group Practice 8921332115 Receives reassigned benefits from 4 practitioners
Practice locations: Fox River Grove, IL

National Provider Directory

National Provider Directory

Locations

912 Northwest Hwy
Ste G6
Fox River Grv, IL 60021
Phone (847) 639-2525

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1609182344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 NORTHWEST HWY",
            "address_2": "SUITE G-6",
            "city": "FOX RIVER GROVE",
            "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 G-6",
            "city": "FOX RIVER GROVE",
            "state": "IL",
            "postal_code": "600211925",
            "telephone_number": "847-639-2525",
            "fax_number": "847-639-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY PODIATRY ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "KIPFERL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-639-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox River Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.