Active NPI
Rachel Suzanne Grieder, DPM
- Primary Podiatric Medicine Podiatrist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 016005366
- Practice address
- 5401 N Knoxville Ave Ste 308
Peoria, IL 61614-5099 - Phone
- (309) 691-6610
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016005366 | IL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016005366 | IL | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 016005366 | IL | Primary |
Addresses
Primary practice location
5401 N Knoxville Ave Ste 308
Peoria, IL 61614-5099
Mailing address
5401 N Knoxville Ave Ste 308
Peoria, IL 61614-5099
Phone (309) 691-6610
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
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 N Cummings LN
Washington, IL 61571-2181
Phone (309) 444-3627
205 N Cummings LN
Suite B
Washington, IL 61571-2181
Phone (309) 691-6610
209 N Cummings LN
Washington, IL 61571-2181
Phone (309) 643-6185
3591 Griffin Ave
Pekin, IL 61554-6258
5401 N Knoxville Ave
Peoria, IL 61614-5021
5401 N Knoxville Ave
Suite 308
Peoria, IL 61614-5099
Phone (309) 691-6610
5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone (309) 691-1000
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
815 Main St
Peoria, IL 61602-1076
Phone (309) 672-4977
815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 81 |
| Removal of skin lesions | 25 |
| Removal of nail tissue | 402 |
| Removal or shaving of skin growth | 174 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016005366 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Pekin Prohealth Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Peoria Podiatry Group PC | Primary Podiatric Medicine | Past | Accepting new patients |
| Central Illinois Nerve Testing LTD | Primary Podiatric Medicine | Past | Accepting new patients |
Locations
1506 W Garfield Ave
Bartonville, IL 61607
Phone (309) 697-2416
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
5401 N Knoxville Ave
Ste 308
Peoria, IL 61614
Phone (309) 691-6610
120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519
815 Main St
Ste A1
Peoria, IL 61602
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- rgriederdpm388690@carlehiedirect.net
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- Family Medicine Physician
- Pekin, IL
- NPI 1932150299
-
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
-
- Clinic/Center
- Peoria, IL
- NPI 1396923702
-
- Primary Podiatric Medicine Podiatrist
- Peoria, IL
- NPI 1386802775
-
- Primary Podiatric Medicine Podiatrist
- Peoria, IL
- NPI 1588813133
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1598926289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 N KNOXVILLE AVE STE 308",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145099",
"telephone_number": "309-691-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 N KNOXVILLE AVE STE 308",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145099",
"telephone_number": "309-691-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIEDER",
"first_name": "RACHEL",
"middle_name": "SUZANNE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016005366",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016005366",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "IL",
"license": "016005366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.