Individual provider Active NPI

Gary M. Kazmer, D.P.M.

  • Podiatrist
  • Elgin, IL
National Provider Identifier
1679650287
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004634 Issued in IL
Practice address
1710 N Randall Rd Ste 140
Elgin, IL 60123-9401
Phone
(847) 277-1376
Fax
(773) 521-4260
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004634 IL Primary

Addresses

Primary practice location

1710 N Randall Rd Ste 140
Elgin, IL 60123-9401

Mailing address

1710 N Randall Rd Ste 140
Elgin, IL 60123-9401
Phone (630) 938-4011

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
I20110301000365 IL Practitioner - Podiatry 2860673530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1710 N Randall Rd
Suite 140
Elgin, IL 60123-9401
Phone (630) 938-4011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.69 of 100Reported as group
Quality
74.66
Promoting interoperability
100
Improvement activities
40
Cost
64.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions1-10
Removal of nail tissue18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016004634ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Orthopaedic Associates, PLLC Current Accepting new patients
Fox Valley Orthopaedic Associates, S.C. CurrentSince Feb 1, 2023 Accepting new patients
Fox Valley Orthopaedic Associates, PLLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

2971 W Algonquin Rd
Ste 101A
Algonquin, IL 60102
Phone (847) 854-8590

420 W Northwest Hwy
Barrington, IL 60010
Phone (847) 277-1376

420 W Northwest Hwy
Ste M
Barrington, IL 60010
Phone (847) 277-1376

1710 N Randall Rd
Ste 140
Elgin, IL 60123
Phone (224) 293-1170

2350 Royal Blvd
Ste 200
Elgin, IL 60123
Phone (847) 931-5300

1975 Lin Lor Ln
Elgin, IL 60123
Phone (847) 468-1400

2535 Soderquist Ct
Geneva, IL 60134
Phone (630) 584-1400

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

1500 Sycamore Rd
Yorkville, IL 60560
Phone (630) 553-4470

Interoperability endpoints

  • Direct secure messaging: gary.kazmer.1@26750.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.

Hospital & facility affiliations 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1679650287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD STE 140",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239401",
            "telephone_number": "630-938-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD STE 140",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239401",
            "telephone_number": "847-277-1376",
            "fax_number": "773-521-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMER",
        "first_name": "GARY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.