Individual provider Active NPI

Michael Durand Newkirk, DPM

  • Foot Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1669659751
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
016005354 Issued in IL
Practice address
1276 N Clybourn Ave
Chicago, IL 60610-2089
Phone
(312) 646-6620
NPI assigned
Jan 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 016005354 IL Primary

Addresses

Primary practice location

1276 N Clybourn Ave
Chicago, IL 60610-2089

Mailing address

4225 S Prairie Ave
Chicago, IL 60653-3211
Phone (312) 493-1783

Other practice location 1

1340 S Damen Ave
Suite 210
Chicago, IL 60608-1169
Phone (773) 292-4800

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
I20080416000657 IL Practitioner - Podiatry 3678651643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Near North Health Service CorporationGroup PAC ID 9638165749, 26 clinicians

Practice addresses (Care Compare)

4829 S Cottage Grove Ave
Chicago, IL 60615-1600
Phone (773) 548-1170

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Near North Health Service Corporation CurrentSince Jul 5, 2025 Accepting new patients
Near North Health Service Corporation CurrentSince Jul 5, 2025 Accepting new patients
Near North Health Service Corporation Current Accepting new patients

Locations

1520 N Kostner Ave
Chicago, IL 60651
Phone (312) 216-8020

3753 S Cottage Grove Ave
Chicago, IL 60653
Phone (773) 268-7600

1276 N Clybourn Ave
Chicago, IL 60610
Phone (312) 337-1073

4259 S Berkeley Ave
Chicago, IL 60653
Phone (773) 268-7600

Interoperability endpoints

  • Direct secure messaging: michael.newkirk.1@31131.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669659751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 S PRAIRIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533211",
            "telephone_number": "312-493-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N CLYBOURN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102089",
            "telephone_number": "312-646-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 S Damen Ave",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081169",
            "country_code": "US",
            "telephone_number": "773-292-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWKIRK",
        "first_name": "MICHAEL",
        "middle_name": "DURAND",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016005354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.