Individual provider Active NPI

Anusak Seriruk, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1902970940
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-004765 Issued in IL
Practice address
6560 W Higgins Ave
Chicago, IL 60656-2161
Phone
(773) 775-0300
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-004765 IL Primary

Addresses

Primary practice location

6560 W Higgins Ave
Chicago, IL 60656-2161

Mailing address

6560 W Higgins Ave
Chicago, IL 60656-2161
Phone (773) 775-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004765ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Extremity Medical Care, Inc Podiatrist CurrentSince May 25, 2025 Accepting new patients
Medical and Foot Care Supplies Inc. Podiatrist Current Accepting new patients
Edgewater Beach Foot and Ankle Center, P.C. PastSince Aug 2, 2020 Accepting new patients
Medical Specialists LTD Past Accepting new patients

Locations

11801 Southwest Hwy
Ste 4N
Palos Heights, IL 60463
Phone (708) 448-9300

11801 Southwest Hwy
Ste 3N
Palos Heights, IL 60463
Phone (708) 448-9300

7226 W College Dr
Palos Heights, IL 60463
Phone (708) 448-9300

7226 W College Dr
Ste B
Palos Heights, IL 60463
Phone (708) 448-9300

Organizations & group practices 4

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1902970940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562161",
            "telephone_number": "773-775-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562161",
            "telephone_number": "773-775-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIRUK",
        "first_name": "ANUSAK",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004765",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.