1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Podiatrist
  6. NPI Profile

NORTHSIDE FOOT & ANKLE PC
NPI 1639507163
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since October 18, 2013
750 N FRANKLIN ST, SUITE 102, CHICAGO, IL 60654(312) 280-7886(312) 280-9547 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2025, May 1, 2023, Mar 14, 2023 and 2 more (5 updates tracked since 2021).

About Northside Foot & Ankle Pc NPPES

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

NORTHSIDE FOOT & ANKLE PC (NPI 1639507163) is a healthcare organization registered as a foot & ankle surgery in Chicago, Illinois and active in the NPI registry since October 2013. The organization lists Timothy S Kruse, Owner, as its authorized official.

NPPES Registry Identity

NPI1639507163
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameNORTHSIDE FOOT & ANKLE PC
Location Address750 N FRANKLIN ST, SUITE 102Chicago, IL 60654-6263
Mailing Address750 N Franklin St Ste 102Chicago, IL 60654-3529 · (312) 280-7886 · Fax (312) 280-9547
Phone(312) 280-7886
Fax(312) 280-9547
Organization SubpartNo
Authorized OfficialTimothy S KruseOwner · (312) 280-7886
Enumeration DateOctober 18, 2013
Last NPPES UpdateOctober 7, 20255 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1639507163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedPodiatrist · Public MedicineTaxonomy 213EP0504X
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
750 N FRANKLIN ST, Chicago, IL 60654
Open in Google Maps ↗

Other Identifiers 1

Medicaid016005211IL

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northside Foot & Ankle Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northside Foot & Ankle PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Kruse, DPM
Podiatry
NPI 1831195841
750 N FRANKLIN ST STE 102
Chicago, IL 60654
(312) 280-7886
✔ PECOS✔ Accepts MedicareSame address

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 Northside Foot & Ankle PC's NPI number?

The NPI number for Northside Foot & Ankle PC is 1639507163. It was assigned to this organization in the NPPES registry on October 18, 2013.

Where is Northside Foot & Ankle PC located?

Northside Foot & Ankle PC is located at 750 N Franklin St Suite 102, Chicago, IL 60654. The listed phone number is (312) 280-7886.

What is Northside Foot & Ankle PC's specialty?

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

Is Northside Foot & Ankle PC enrolled in Medicare?

Yes. Northside Foot & Ankle PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northside Foot & Ankle PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Northside Foot & Ankle PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northside Foot & Ankle PC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Northside Foot & Ankle PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northside Foot & Ankle PC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.