DUPAGE FOOT & ANKLE ASSOCIATES – Podiatrist, NPI 1124206834

DUPAGE FOOT & ANKLE ASSOCIATES is a healthcare provider. based in Bensenville, Illinois. specializing in Podiatrist. The organization holds a License No. 016003067 (IL). The NPI Number for DUPAGE FOOT & ANKLE ASSOCIATES is 1124206834

Main info

Organization
Name
DUPAGE FOOT & ANKLE ASSOCIATES
NPI
1124206834
Phone
(630) 766-8720
Address
14 S ADDISON ST
Authorized Official
MR. RUDOLPH J PETRICH OWNER DPM
Enumeration Date
5 February 2008
Last Update Date
11 June 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DUPAGE FOOT & ANKLE ASSOCIATES

  • 14, South Addison Street, Bensenville, DuPage County, Illinois, 60106, United States

    BENSENVILLE, IL 601062126

    Phone: (630) 766-8720

    Fax: (630) 766-9228

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (831 days ago).

Enrollment records

1

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930100391OPhysician - PodiatryIL2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60106)

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Reviews

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Frequently asked questions

Can I cross-check DUPAGE FOOT & ANKLE ASSOCIATES using NPI 1124206834?
NPI 1124206834 belongs to DUPAGE FOOT & ANKLE ASSOCIATES; compare other details if you need extra assurance.
Would DUPAGE FOOT & ANKLE ASSOCIATES appear as active to a payer?
You can treat DUPAGE FOOT & ANKLE ASSOCIATES as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DUPAGE FOOT & ANKLE ASSOCIATES?
DUPAGE FOOT & ANKLE ASSOCIATES is associated with Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is DUPAGE FOOT & ANKLE ASSOCIATES registered?
Use Bensenville, Illinois as the headline location for DUPAGE FOOT & ANKLE ASSOCIATES here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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