Individual provider Active NPI

Rachel Suzanne Grieder, DPM

  • Primary Podiatric Medicine Podiatrist
  • Peoria, IL
National Provider Identifier
1598926289
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
016005366 Issued in IL
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

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000635 IL Practitioner - Podiatry 8123189495 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proctor Health SystemsGroup PAC ID 3476440173, 131 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

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

ProcedureNumber of procedures
Removal of tissue81
Removal of skin lesions25
Removal of nail tissue402
Removal or shaving of skin growth174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005366ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois Current Accepting new patients
Proctor Health Systems CurrentSince Sep 1, 2015 Accepting new patients
Proctor Health Systems CurrentSince Sep 1, 2015 Accepting new patients
Pekin Prohealth Inc CurrentSince Jan 13, 2018 Accepting new patients
Carle Health Care Incorporated CurrentSince Jan 1, 2026 Accepting new patients
Proctor Health Systems Current Accepting new patients
Peoria Podiatry Group PC Primary Podiatric Medicine PastSince Oct 1, 2008 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.