PODIATRY OF CHICAGO 1, P.C.
NPI 1013552074
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since November 14, 2019
6560 W HIGGINS AVE, CHICAGO, IL 60656(847) 775-0300(847) 775-0883 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Podiatry Of Chicago 1, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PODIATRY OF CHICAGO 1, P.C. (NPI 1013552074) is a healthcare organization registered as a foot & ankle surgery in Chicago, Illinois and active in the NPI registry since November 2019. The organization lists Nicole Wundsam, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1013552074
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePODIATRY OF CHICAGO 1, P.C.
Location Address6560 W HIGGINS AVEChicago, IL 60656-2161
Mailing Address665 N Victoria DrPalatine, IL 60074-4193 · (847) 255-5004 · Fax (847) 255-5073
Fax(847) 775-0883
Organization SubpartNo
Authorized OfficialNicole WundsamPractice Administrator · (847) 255-5004
Enumeration DateNovember 14, 2019
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1013552074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
6560 W HIGGINS AVE, Chicago, IL 60656

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Podiatry Of Chicago 1, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20200512003548DME · Physician - PodiatryDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Podiatry Of Chicago 1, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Podiatry
NPI 1922360577
6560 W HIGGINS AVE
Chicago, IL 60656
(773) 775-0300
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1306236310
1710 W NORTH AVE
Chicago, IL 60622
(847) 406-9053
✔ PECOS✔ Accepts Medicare7.8 mi
Podiatry
NPI 1265877849
2500 RIDGE AVE STE 110
Evanston, IL 60201
(847) 475-9030
✔ PECOS✔ Accepts Medicare8.1 mi
Podiatry
NPI 1568085710
5666 E STATE ST
Rockford, IL 61108
(815) 226-2000
✔ PECOS✔ Accepts Medicare66 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Podiatry Of Chicago 1, P.C.'s NPI number?

The NPI number for Podiatry Of Chicago 1, P.C. is 1013552074. It was assigned to this organization in the NPPES registry on November 14, 2019.

Where is Podiatry Of Chicago 1, P.C. located?

Podiatry Of Chicago 1, P.C. is located at 6560 W Higgins Ave, Chicago, IL 60656. The listed phone number is (847) 775-0300.

What is Podiatry Of Chicago 1, P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Podiatry Of Chicago 1, P.C. enrolled in Medicare?

Yes. Podiatry Of Chicago 1, P.C. is registered in the Medicare PECOS enrollment system.

When is Podiatry Of Chicago 1, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Podiatry Of Chicago 1, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Podiatry Of Chicago 1, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Podiatry Of Chicago 1, P.C. was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.