Individual provider Active NPI

Annmarie Kulekowskis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1841295342
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005127 Issued in IL
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

Updated by the provider on Aug 5, 2024

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 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

IdentifierTypeStateIssuer
016005127MedicaidIL

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
I20040428000254 IL Practitioner - Podiatry 4284621673 Reassigns benefits to 1 organization

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 Hospital, Chicago, IL, CCN 140206

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue391
Removal of skin lesions1-10
Removal of nail tissue140
Removal or shaving of skin growth85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Valdes and Kulekowskis Podiatry PC Foot & Ankle Surgery CurrentSince Jun 6, 2009 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.