Northside Foot & Ankle PC
NPI 1639507163 · Foot & Ankle Surgery Podiatrist · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northside Foot & Ankle PC is a Foot & Ankle Surgery Podiatrist organization in Chicago, IL (NPI 1639507163).
Provider details
- NPI number
- 1639507163
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Kruse, Owner(312) 280-7886
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Foot Surgery Podiatrist213ES0131X
Podiatric Medicine & Surgery Service Providers
- Public Medicine Podiatrist213EP0504X
Podiatric Medicine & Surgery Service Providers
Suppliers
- Primary Podiatric Medicine Podiatrist213EP1101X
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-10-18
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Frequently asked questions
- What is Northside Foot & Ankle PC's NPI number?
- Northside Foot & Ankle PC's National Provider Identifier (NPI) is 1639507163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Foot & Ankle PC?
- Northside Foot & Ankle PC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Northside Foot & Ankle PC located?
- Northside Foot & Ankle PC's practice location on file with NPPES is 750 N Franklin St, Chicago, IL 60654-6263.
- What is Northside Foot & Ankle PC's phone number?
- The practice phone number listed in the NPPES registry for Northside Foot & Ankle PC is (312) 280-7886.
- Does Northside Foot & Ankle PC accept Medicare?
- Northside Foot & Ankle PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northside Foot & Ankle PC?
- The authorized official listed on Northside Foot & Ankle PC's NPPES record is Timothy Kruse, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Foot & Ankle PC's NPI active?
- Yes — Northside Foot & Ankle PC's NPI (1639507163) is active in the NPPES registry as of the last update on 2025-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.