Organization Active NPI

Kevin M Massard LTD PC

  • Podiatrist
  • Bartlett, IL
National Provider Identifier
1831294735
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004988 Issued in IL
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

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Kevin M Massard, DPMNPI 1043490675
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as
  • Massard Foot and Ankle Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080114000065 IL Part B Supplier - Clinic/Group Practice 4082795323 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, IL; Bartlett, IL
O20100930054016 IL DME Supplier - Physician - Podiatry 4082795323 Practice locations: Bartlett, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.