Individual provider Active NPI

Stephen Keith Roeske, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Arlington Heights, IL
National Provider Identifier
1114378213
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005834 Issued in IL
Practice address
149 W Rand Rd
Arlington Heights, IL 60004-3142
Phone
(847) 487-2827
Fax
(847) 487-2860
NPI assigned
Jun 29, 2016
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005834 IL Primary

Addresses

Primary practice location

149 W Rand Rd
Arlington Heights, IL 60004-3142

Mailing address

149 W Rand Rd
Arlington Heights, IL 60004-3142
Phone (847) 487-2827

Other practice location 1

385 W Liberty St
Wauconda, IL 60084-2424
Phone (847) 487-2827

Other practice location 2

150 N River Rd Ste 220
Des Plaines, IL 60016-1297
Phone (847) 487-2860

Other practice location 3

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190426000038 IL Practitioner - Podiatry 9739472317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

10370 Haligus Rd
Suite 201
Huntley, IL 60142-9582
Phone (815) 455-2752

420 N Il Route 31
Crystal Lake, IL 60012-3709
Phone (815) 356-5200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue74
Removal of skin lesions1-10
Removal of nail tissue134
Removal or shaving of skin growth87
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005834ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation Single Specialty CurrentSince Nov 3, 2025 Accepting new patients
Northwestern Medical Faculty Foundation Single Specialty CurrentSince Nov 3, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Feb 1, 2024 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

420 N State Route 31
Crystal Lake, IL 60012
Phone (815) 356-5200

10370 Haligus Rd
Ste 201
Huntley, IL 60142
Phone (815) 356-5200

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1114378213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W RAND RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043142",
            "telephone_number": "847-487-2827",
            "fax_number": "847-487-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 W RAND RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043142",
            "telephone_number": "847-487-2827",
            "fax_number": "847-487-2860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Wauconda",
            "state": "IL",
            "postal_code": "600842424",
            "country_code": "US",
            "telephone_number": "847-487-2827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 N River Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600161297",
            "country_code": "US",
            "telephone_number": "847-487-2860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1653 W Congress Pkwy",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123833",
            "country_code": "US",
            "telephone_number": "312-942-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROESKE",
        "first_name": "STEPHEN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.