EDGEWATER BEACH FOOT AND ANKLE CENTER, P.C.
NPI 1780801548
Podiatrist - Primary Podiatric Medicine in Chicago, IL

Active since April 20, 2007
5331 N SHERIDAN RD, CHICAGO, IL 60640(773) 271-0807(484) 723-7350 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edgewater Beach Foot And Ankle Center, P.c. NPPES

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

EDGEWATER BEACH FOOT AND ANKLE CENTER, P.C. (NPI 1780801548) is a healthcare organization registered as a primary podiatric medicine in Chicago, Illinois and active in the NPI registry since April 2007. The organization lists Benita J Kapnick, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1780801548
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameEDGEWATER BEACH FOOT AND ANKLE CENTER, P.C.
Location Address5331 N SHERIDAN RDChicago, IL 60640-2531
Mailing Address800 Austin St Ste 508Evanston, IL 60202-3445 · (773) 271-0807 · Fax (484) 723-7350
Fax(484) 723-7350
Organization SubpartNo
Authorized OfficialBenita J KapnickOffice Manager · (773) 271-0807
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1780801548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in IL · 016002871
5331 N SHERIDAN RD, Chicago, IL 60640

Other Identifiers 3

Other60000959IL · Blue Cross Blue Shield
Medicaid016002871IL
Other480021114IL · Medicare Palmetto

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

Accepted 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)

Edgewater Beach Foot And Ankle Center, P.c. 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 Edgewater Beach Foot And Ankle Center, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1649239740
800 AUSTIN ST 369
Evanston, IL 60202
(773) 271-0807
✔ PECOS✔ Accepts Medicare3.5 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 Edgewater Beach Foot And Ankle Center, P.C.'s NPI number?

The NPI number for Edgewater Beach Foot And Ankle Center, P.C. is 1780801548. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Edgewater Beach Foot And Ankle Center, P.C. located?

Edgewater Beach Foot And Ankle Center, P.C. is located at 5331 N Sheridan Rd, Chicago, IL 60640. The listed phone number is (773) 271-0807.

What is Edgewater Beach Foot And Ankle Center, P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Edgewater Beach Foot And Ankle Center, P.C. enrolled in Medicare?

Yes. Edgewater Beach Foot And Ankle Center, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edgewater Beach Foot And Ankle Center, P.C.?

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

What insurance does Edgewater Beach Foot And Ankle Center, P.C. accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Edgewater Beach Foot And Ankle Center, P.C. 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 Edgewater Beach Foot And Ankle Center, P.C. was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.