NORTHWEST PODIATRY CENTER, LTD – Foot & Ankle Surgery Podiatrist, NPI 1316030943

NORTHWEST PODIATRY CENTER, LTD is a healthcare provider. based in Wheaton, Illinois. specializing in Foot & Ankle Surgery Podiatrist. The organization holds a License No. 162778 (IL). The NPI Number for NORTHWEST PODIATRY CENTER, LTD is 1316030943

Main info

Organization
Name
NORTHWEST PODIATRY CENTER, LTD
NPI
1316030943
Phone
(630) 668-8277
Address
705 WARRENVILLE RD STE B
Authorized Official
DR. GREGORY C. BRYNICZKA OWNER DPM
Enumeration Date
2 October 2006
Last Update Date
19 September 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for NORTHWEST PODIATRY CENTER, LTD

  • 705 WARRENVILLE RD STE B

    WHEATON, IL 601896379

    Phone: (630) 668-8277

    Fax: (630) 668-3358

    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: 2004-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20040108000975OClinic/Group PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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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 60189)

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Reviews

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Frequently asked questions

What unique ID ties claims to NORTHWEST PODIATRY CENTER, LTD?
NPI 1316030943 is assigned to NORTHWEST PODIATRY CENTER, LTD under the national enumeration system.
Is NORTHWEST PODIATRY CENTER, LTD's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is NORTHWEST PODIATRY CENTER, LTD?
The page reflects Foot & Ankle Surgery Podiatrist for NORTHWEST PODIATRY CENTER, LTD. Clinical services aligned with this taxonomy classification.
What location metadata exists for NORTHWEST PODIATRY CENTER, LTD?
The page summarizes Wheaton, Illinois for NORTHWEST PODIATRY CENTER, LTD; expand the address list for detail.
How can I contact NORTHWEST PODIATRY CENTER, LTD?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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