Individual provider Active NPI

Kathleen D. Mathes, DPM

  • Primary Podiatric Medicine Podiatrist
  • Homer Glen, IL
National Provider Identifier
1669496550
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
016002942 Issued in IL
Practice address
15931 S Bell Rd
Homer Glen, IL 60491-6707
Phone
(708) 301-3080
Fax
(708) 301-6198
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 016002942 IL Primary

Addresses

Primary practice location

15931 S Bell Rd
Homer Glen, IL 60491-6707

Mailing address

15931 S Bell Rd
Homer Glen, IL 60491-6707
Phone (708) 301-3080

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
I20080918000453 IL Practitioner - Podiatry 4880761709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15931 S Bell Rd
Homer Glen, IL 60491-6707
Phone (708) 301-3080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1299
Removal or shaving of skin growth334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016002942ILMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mathes Podiatry LTD. CurrentSince Jan 1, 2013 Accepting new patients
Mathes Podiatry LTD. CurrentSince Jul 23, 2013 Accepting new patients
Camilleri Medical Center LTD Primary Podiatric Medicine PastSince Jan 1, 1999 Accepting new patients
Aging Care Connections Past Accepting new patients

Locations

5331 W 79th St
Burbank, IL 60459
Phone (704) 422-9577

15931 S Bell Rd
Homer Glen, IL 60491
Phone (708) 301-3080

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 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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1669496550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15931 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916707",
            "telephone_number": "708-301-3080",
            "fax_number": "708-301-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15931 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916707",
            "telephone_number": "708-301-3080",
            "fax_number": "708-301-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHES",
        "first_name": "KATHLEEN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016002942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

Verify at the official NPI Registry.