OrganizationActive
Family Foot & Ankle Clinic PC
NPI 1629127741 · Podiatrist · Decatur, IL
Provider details
- NPI number
- 1629127741
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Stephen Kovach, President(217) 429-1512
- License
- 060008117 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1390 N Fairview Ave
Decatur, IL 62526-3618
Phone: (217) 429-1512
Fax: (217) 423-1465
Street-level locationGet directions
Mailing address
1390 N Fairview Ave
Decatur, IL 62526-3618
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2011-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.