Individual provider Active NPI

Kathy Joyce Mize, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Niles, IL
National Provider Identifier
1891746533
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-005257 Issued in IL
Practice address
8145 N Milwaukee Ave
Niles, IL 60714-2828
Phone
(847) 470-0555
Fax
(847) 470-0019
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-005257 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 016-005257 IL Primary

Addresses

Primary practice location

8145 N Milwaukee Ave
Niles, IL 60714-2828

Mailing address

6442 S Cass Ave
Westmont, IL 60559-3209
Phone (630) 493-0600

Other identifiers 3

IdentifierTypeStateIssuer
01632760OtherILBLUE CROSS BLUE SHIELD
016005257MedicaidIL
P00467322OtherILRAILROAD MEDICARE

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
I20061107000480 IL Practitioner - Podiatry 6608873583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Podiatry Group LTDGroup PAC ID 8325033400, 7 clinicians

Practice addresses (Care Compare)

1190 E 2900 Horth Rd
Clinton, IL 60927-7103
Phone (815) 694-2306

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
87.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue4717
Removal or shaving of skin growth2683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-005257ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Podiatry Group, LTD Podiatrist CurrentSince Aug 28, 2006 Accepting new patients

Locations

7025 Beracasa Way
Ste 102G
Boca Raton, FL 33433
Phone (773) 321-2681

724 W 31st St
Chicago, IL 60616
Phone (312) 225-2444

3048 W Peterson Ave
Chicago, IL 60659
Phone (773) 274-5026

1190 E 2900 North Rd
Clifton, IL 60927
Phone (815) 326-5792

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

1900 N Park Ave
Herrin, IL 62948
Phone (618) 942-2525

2195 Foxglove Dr
Northbrook, IL 60062
Phone (847) 480-7110

105 E 23rd St
Sterling, IL 61081
Phone (815) 381-4264

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1891746533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 S CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593209",
            "telephone_number": "630-493-0600",
            "fax_number": "630-493-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142828",
            "telephone_number": "847-470-0555",
            "fax_number": "847-470-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "KATHY",
        "middle_name": "JOYCE",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-005257",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-005257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01632760",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005257",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00467322",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.