Active NPI
Kriti Puthenpurakal, DPM
- Foot & Ankle Surgery Podiatrist
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 135000824
- Practice address
- 640 S Washington St
Ste 380
Naperville, IL 60540-6787 - Phone
- (630) 272-6441
- Fax
- (630) 527-6392
- NPI assigned
- Jul 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 135000824 | IL | Primary |
Addresses
Primary practice location
640 S Washington St
Ste 380
Naperville, IL 60540-6787
Mailing address
6620 Greene Rd
Woodridge, IL 60517
Phone (630) 202-4898
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1190 S Naper Blvd
Naperville, IL 60540-8331
Phone (630) 272-6441
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 15 |
| Removal of nail tissue | 141 |
| Removal or shaving of skin growth | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135000824 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Podiatry Services, LTD | Current | Accepting new patients | |
| Rakesh Marwaha M.D. S.C. | Current | Accepting new patients | |
| American Foot & Ankle Specialists, LTD. | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
1415 W Foster Ave
Chicago, IL 60640
Phone (630) 307-9617
7126 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 583-9189
640 S Washington St
Ste 380
Naperville, IL 60540
Phone (630) 272-6441
1190 S Naper Blvd
Naperville, IL 60540
Phone (312) 229-0345
1190 S Naper Blvd
Ste 380
Naperville, IL 60540
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.
-
- Foot & Ankle Surgery Podiatrist
- Naperville, IL
- NPI 1538512199
-
- Podiatrist
- Lincolnwood, IL
- NPI 1528250669
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1073695284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1710319959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 GREENE RD",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "60517",
"telephone_number": "630-202-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S WASHINGTON ST",
"address_2": "STE 380",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406787",
"telephone_number": "630-272-6441",
"fax_number": "630-527-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTHENPURAKAL",
"first_name": "KRITI",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "135000824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.