Individual provider Active NPI

Nicholas Daniel Stepnoski, D.P.M.

  • Podiatrist
  • Orland Park, IL
National Provider Identifier
1639602907
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005905 Issued in IL
Practice address
10760 W 143Rd St Ste 60
Orland Park, IL 60462-1920
Phone
(708) 301-5600
Fax
(708) 301-5602
NPI assigned
Apr 4, 2017
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005905 IL Primary

Addresses

Primary practice location

10760 W 143Rd St Ste 60
Orland Park, IL 60462-1920

Mailing address

26 Monticello Dr
Dyer, IN 46311-1367
Phone (219) 789-5717

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nstepnoski289920@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Direct

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
I20200824001091 IL Practitioner - Podiatry 9234556127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cynthia a Sink DPM Facfas SCGroup PAC ID 4284776246, 2 clinicians

Practice addresses (Care Compare)

10760 W 143Rd St
Suite 60
Orland Park, IL 60462-1920
Phone (708) 301-5600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue464
Removal or shaving of skin growth72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005905ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia a Sink DPM Facfas SC CurrentSince Aug 1, 2020 Accepting new patients
Dr. Nicholas Stepnoski, DPM, PLLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

10760 W 143rd St
Ste 60
Orland Park, IL 60462
Phone (708) 301-5600

Interoperability endpoints

  • Direct secure messaging: nstepnoski@sink.mdlogic.direct-ci.com
  • Direct secure messaging: nstepnoski289920@direct.myadvocateaurora.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1639602907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MONTICELLO DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111367",
            "telephone_number": "219-789-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 W 143RD ST STE 60",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621920",
            "telephone_number": "708-301-5600",
            "fax_number": "708-301-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPNOSKI",
        "first_name": "NICHOLAS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nstepnoski289920@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10760 W 143rd St Ste 60",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604621920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10760 W 143rd St Ste 60",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604621920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.