NPIMap

Individual provider Active NPI

Patrick Allen McEneaney, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Cary, IL
National Provider Identifier
1174613319
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005350 Issued in IL
Practice address
113 W Main St
Cary, IL 60013-2718
Phone
(847) 639-5800
Fax
(847) 639-2980
NPI assigned
Oct 16, 2006
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 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 016.005350 IL Primary

Addresses

Primary practice location

113 W Main St
Cary, IL 60013-2718

Mailing address

113 W Main St
Cary, IL 60013-2718
Phone (847) 639-5800

Other practice location 1

1288 S US Highway 12
Fox Lake, IL 60020-1950
Phone (847) 639-5800

Other practice location 2

165 N Lakewood Rd Ste A
Lake IN The Hills, IL 60156-5951
Phone (847) 639-5800

Other practice location 3

750 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3621
Phone (847) 639-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000486 IL Practitioner - Podiatry 3173655354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

113 W Main St
Cary, IL 60013-2718
Phone (847) 639-5800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue118
Removal of skin lesions58
Removal of nail tissue420
Removal or shaving of skin growth112
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005350ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince May 1, 2014 Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince Jul 1, 2014 Accepting new patients

Locations

113 W Main St
Cary, IL 60013
Phone (708) 639-5800

750 E Terra Cotta Ave
Ste A
Crystal Lake, IL 60014
Phone (815) 455-1800

750 E Terra Cotta Ave
Ste C
Crystal Lake, IL 60014
Phone (815) 455-0800

1288 S US Highway 12
Fox Lake, IL 60020

165 N Lakewood Rd
Ste A
Lake in the Hills, IL 60156
Phone (846) 639-5800

Interoperability endpoints

  • Direct secure messaging: pmceneaney@nifaas-il.direct.office.nextgen.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1174613319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W MAIN ST",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132718",
            "telephone_number": "847-639-5800",
            "fax_number": "847-639-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W MAIN ST",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132718",
            "telephone_number": "847-639-5800",
            "fax_number": "847-639-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1288 S US Highway 12",
            "address_purpose": "LOCATION",
            "city": "Fox Lake",
            "state": "IL",
            "postal_code": "600201950",
            "country_code": "US",
            "telephone_number": "847-639-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 N Lakewood Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Lake IN The Hills",
            "state": "IL",
            "postal_code": "601565951",
            "country_code": "US",
            "telephone_number": "847-639-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E Terra Cotta Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600143621",
            "country_code": "US",
            "telephone_number": "847-639-5800",
            "fax_number": "815-526-3467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCENEANEY",
        "first_name": "PATRICK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

Verify at the official NPI Registry.