Individual provider Active NPI

Leonard Michael Kuzmicki, DPM

  • Podiatrist
  • Spring Valley, IL
National Provider Identifier
1952473365
Registry record updated Aug 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004619 Issued in IL
Practice address
416 E Dakota St
Spring Valley, IL 61362-2235
Phone
(815) 663-2511
Fax
(815) 663-1237
NPI assigned
Nov 14, 2006
Last updated
Aug 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004619 IL Primary

Addresses

Primary practice location

416 E Dakota St
Spring Valley, IL 61362-2235

Mailing address

416 E Dakota St
Spring Valley, IL 61362-2235
Phone (815) 663-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090715000157 IL Practitioner - Podiatry 1951453497 Practice locations: Spring Valley, IL
O20100930072901 IL DME Supplier - Physician - Podiatry 8820118995 Practice locations: Spring Valley, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

416 E Dakota St
Spring Valley, IL 61362-2235
Phone (815) 663-2511

Hospital & facility affiliations

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

ProcedureNumber of procedures
Removal of nail tissue1169
Removal or shaving of skin growth549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016004619ILMDPodiatrist

Interoperability endpoints

  • Direct secure messaging: lkuzmickidpm@svfc-il.direct.office.nextgen.com

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693008000000",
    "number": "1952473365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E DAKOTA ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613622235",
            "telephone_number": "815-663-2511",
            "fax_number": "815-663-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E DAKOTA ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613622235",
            "telephone_number": "815-663-2511",
            "fax_number": "815-663-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMICKI",
        "first_name": "LEONARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, IL

Sources for this page

Verify at the official NPI Registry.