Active NPI
Kevin M Massard LTD PC
- Podiatrist
- Bartlett, IL
National Provider Identifier
1831294735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016004988
- Legal business name
- KEVIN M MASSARD LTD PC
- Practice address
- 321 W Railroad Ave
Bartlett, IL 60103-4428 - Phone
- (630) 213-3830
- Fax
- (630) 213-3895
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin M Massard, DPM
- Title
- Pres
- Phone
- (630) 213-3830
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016004988 | IL | Primary |
Addresses
Primary practice location
321 W Railroad Ave
Bartlett, IL 60103-4428
Mailing address
321 W Railroad Ave
Bartlett, IL 60103-4428
Phone (630) 213-3830
Other names 2
- Massard Ankle & Foot Clinic
- Massard Foot and Ankle Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
321 W Railroad Ave
Bartlett, IL 60103
Phone (630) 213-3830
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Bartlett, IL
- NPI 1043490675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766534400000",
"number": "1831294735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 W RAILROAD AVE",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601034428",
"telephone_number": "630-213-3830",
"fax_number": "630-213-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 W RAILROAD AVE",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601034428",
"telephone_number": "630-213-3830",
"fax_number": "630-213-3895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN M MASSARD LTD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A",
"authorized_official_last_name": "MASSARD",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "630-213-3830",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "IL",
"license": "016004988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Massard Ankle & Foot Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Massard Foot and Ankle Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Massard Foot and Ankle Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bartlett, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.