Active NPI
Denise Petenzi, DPM
- Podiatrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016-005107
- Practice address
- 3758W Chicago Ave
Chicago, IL 60651-3823 - Phone
- (312) 505-0156
- Fax
- (773) 529-3911
- NPI assigned
- Mar 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016-005107 | IL | Primary |
Addresses
Primary practice location
3758W Chicago Ave
Chicago, IL 60651-3823
Mailing address
2644 N Wayne Ave
Unit C
Chicago, IL 60614
Phone (312) 505-0156
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2644 N Wayne Ave
Apt C
Chicago, IL 60614-6783
Phone (312) 505-0156
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.54 of 100
- Quality
- 59.07
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 32 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1874 |
| Removal or shaving of skin growth | 579 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-005107 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denise J Petenzi, DPM, LLC | Podiatrist | Current | Accepting new patients |
| Fabian Carbonell MD SC | Past | Accepting new patients | |
| Autumn Country Club, Inc. | Past | Accepting new patients | |
| Edgewater Beach Foot and Ankle Center, P.C. | Past | Accepting new patients |
Locations
3758 W Chicago Ave
Chicago, IL 60651
Phone (312) 235-0626
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 and National Provider Directory roles.
-
- Podiatrist
- Chicago, IL
- NPI 1437607769
-
dba Autumn Adult Day Care
- Adult Day Care Clinic/Center
- Joliet, IL
- NPI 1376590810
-
- Primary Podiatric Medicine Podiatrist
- Chicago, IL
- NPI 1780801548
-
- Psychiatry Physician
- Chicago, IL
- NPI 1578767935
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Schaumburg, IL
- NPI 1528728417
-
dba LHC - Illinois Home Health Care of Naperville
- Home Health Agency
- Naperville, IL
- NPI 1851591010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1457329708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2644 N WAYNE AVE",
"address_2": "UNIT C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "312-505-0156",
"fax_number": "773-529-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3758W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606513823",
"telephone_number": "312-505-0156",
"fax_number": "773-529-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETENZI",
"first_name": "DENISE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-11",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016-005107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Peter Akerele
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- Peter D. Geldner, M.D. S.C. (The Geldner Center)
- Peter J Hammes DDS PC (Washington Dental Care)
- Peter J. Bacos D.D.S.& Beth M Nelson D.D.S.,LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.