Active NPI
Annmarie Kulekowskis, DPM
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016005127
- Practice address
- 1044 N Francisco Ave # 203
Chicago, IL 60622-2743 - Phone
- (773) 824-6703
- NPI assigned
- Jun 20, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 016005127 | IL | Primary |
Addresses
Primary practice location
1044 N Francisco Ave # 203
Chicago, IL 60622-2743
Mailing address
3400 W 111TH St # 123
Chicago, IL 60655-3330
Phone (773) 248-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016005127 | Medicaid | IL |
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
- Barry University School of Podiatric Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 248-4111
Hospital & facility affiliations
- Humboldt Park Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 391 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 140 |
| Removal or shaving of skin growth | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Valdes and Kulekowskis Podiatry PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Angeles Valdes Podiatry Center PC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
1044 N Francisco Ave
Ste 203
Chicago, IL 60622
Phone (312) 527-6500
3400 W 111th St
Chicago, IL 60655
Phone (773) 798-2985
1044 N Francisco Ave
#203
Chicago, IL 60622
Phone (773) 824-6703
Organizations & group practices 2
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
- Chicago, IL
- NPI 1093951303
-
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
- NPI 1215072277
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1972594877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1841295342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 W 111TH ST # 123",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606553330",
"telephone_number": "773-248-4111",
"fax_number": "773-248-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 N FRANCISCO AVE # 203",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222743",
"telephone_number": "773-824-6703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULEKOWSKIS",
"first_name": "ANNMARIE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016005127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016005127",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.