Individual provider Active NPI

Matthew Albert Krouse, DPM

  • Foot & Ankle Surgery Podiatrist
  • Elgin, IL
National Provider Identifier
1891133096
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005635 Issued in IL
Practice address
1750 N Randall Rd
Suite 160
Elgin, IL 60123-7900
Phone
(847) 468-1994
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005635 IL Primary

Addresses

Primary practice location

1750 N Randall Rd
Suite 160
Elgin, IL 60123-7900

Mailing address

1750 N Randall Rd
Suite 160
Elgin, IL 60123-7900
Phone (847) 468-1994

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mkrouse288447@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20161104000735 IL Practitioner - Podiatry 0840589982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Foot and Ankle Specialists SCGroup PAC ID 6204000300, 3 clinicians

Practice addresses (Care Compare)

1750 N Randall Rd
Suite 160
Elgin, IL 60123-7902
Phone (847) 468-1994

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.75 of 100Reported as individual
Quality
72.83
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue342
Removal of nail tissue904
Removal or shaving of skin growth778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005635ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot & Ankle Specialists SC Foot & Ankle Surgery CurrentSince Oct 3, 2016 Accepting new patients
Breck Tiernan PC Foot & Ankle Surgery Past Accepting new patients

Locations

3115 N Harlem Ave
Ste 200
Chicago, IL 60634
Phone (773) 637-6070

1750 N Randall Rd
Ste 160
Elgin, IL 60123
Phone (847) 370-6712

800 Biesterfield Rd
Ste 3004
Elk Grove Vlg, IL 60007
Phone (847) 352-0200

10370 Haligus Rd
Huntley, IL 60142
Phone (815) 479-8166

10370 Haligus Rd
Ste 109
Huntley, IL 60142
Phone (815) 356-0500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24710/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.krouse.1@24710.direct.athenahealth.com

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 3

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1891133096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD",
            "address_2": "SUITE 160",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "847-468-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD",
            "address_2": "SUITE 160",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "847-468-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUSE",
        "first_name": "MATTHEW",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkrouse288447@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1750 N Randall Rd",
            "address_2": "Suite 160",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601237900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1750 N Randall Rd",
            "address_2": "Suite 160",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601237900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.