Individual provider Active NPI

Kriti Puthenpurakal, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naperville, IL
National Provider Identifier
1710319959
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
135000824 Issued in IL
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

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825001055 IL Practitioner - Podiatry 2668767930 Reassigns benefits to 3 organizations

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

ProcedureNumber of procedures
Removal of tissue15
Removal of nail tissue141
Removal or shaving of skin growth36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135000824ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Podiatry Services, LTD CurrentSince Apr 1, 2017 Accepting new patients
Rakesh Marwaha M.D. S.C. CurrentSince Nov 1, 2022 Accepting new patients
American Foot & Ankle Specialists, LTD. Foot & Ankle Surgery CurrentSince Jul 13, 2016 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.

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

Verify at the official NPI Registry.