Katarzyna Nietupski, D.P.M

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016.005453 Issued in IL

Practice address

5485 N Milwaukee Ave
Chicago, IL 60630-1249

Phone

(773) 763-6655

Fax

(773) 763-5117

NPI assigned

May 9, 2011

Last updated

Jan 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
• Resurrection Medical Center - Chicago LLC Inpatient rehabilitation facility, Chicago, IL, CCN 14T117

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Illinois Foot and Ankle Specialists, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1760721963
  Medicare reassignment NPD Authorized official
• Michael C Molay DPM

  • Non-Pharmacy Dispensing Site
  • Chicago, IL
  • NPI 1629244223
  NPD (past)

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

• Resurrection Medical Center - Chicago LLC

  dba Resurrection Medical Center

  • Rehabilitation Hospital Unit
  • Chicago, IL
  • NPI 1700695566

  Inpatient rehabilitation facility

  Care Compare affiliation
• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  Care Compare affiliation

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1912299926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301249",
            "telephone_number": "773-763-6655",
            "fax_number": "773-763-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301249",
            "telephone_number": "773-763-6655",
            "fax_number": "773-763-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETUPSKI",
        "first_name": "KATARZYNA",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.005453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Nieto Quiroga, MSN, FNP-BC
• Karina Andrea Nieto-Antonione, PT
• Fabiola Nieto, APRN
• Joseph Edgar Nieto, PHARM D
• Xiomara Nieto, FNP
• Cory Nietzke
• Meredith Lynn Nieuwsma, LPC
• Wilberto Nieves Neira, MD
• Richard Alexis Nieves Santiago, MD
• Jennifer Marie Nieves, APN

• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.

Verify at the official NPI Registry.