Active NPI
Mary D Degroot, DPM
- Podiatrist
- New Lenox, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016005141
- Practice address
- 1938 E Lincoln Hwy
Suite 206
New Lenox, IL 60451-3810 - Phone
- (815) 462-9225
- Fax
- (815) 462-5385
- NPI assigned
- Aug 23, 2005
- 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 | 016005141 | IL | Primary |
Addresses
Primary practice location
1938 E Lincoln Hwy
Suite 206
New Lenox, IL 60451-3810
Mailing address
1938 E Lincoln Hwy
Suite 206
New Lenox, IL 60451-3810
Phone (815) 462-9225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00194730 | Other | IL | RAILROAD MEDICARE |
| 01634686 | Other | IL | BCBS |
| 016005141 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NV, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 Allen LN
Saint Charles, IL 60174-1355
Phone (630) 377-2211
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.82 of 100
- Quality
- 72.99
- Improvement activities
- 40
- Cost
- 75.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 4222 |
| Removal or shaving of skin growth | 766 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Podiatry Group PC | Podiatrist | Current | Accepting new patients |
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients | |
| Preferred Podiatry Group of Michigan PC | Podiatrist | Current | Accepting new patients |
Locations
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
701 Shadwell Ave
Flora, IL 62839
Phone (618) 662-8361
1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401
5 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 242-1064
3450 Oakton St
Ste 300
Skokie, IL 60076
611 Allen Ln
St Charles, IL 60174
Phone (630) 377-2211
1000 Patterson St
Anderson, MO 64831
Phone (417) 845-3351
3000 NE 64th St
Kansas City, MO 64119
Phone (816) 393-6762
5650 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 470-1102
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.
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
-
- Podiatrist
- Chicago, IL
- NPI 1871940882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1720071970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1938 E LINCOLN HWY",
"address_2": "SUITE 206",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604513810",
"telephone_number": "815-462-9225",
"fax_number": "815-462-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1938 E LINCOLN HWY",
"address_2": "SUITE 206",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604513810",
"telephone_number": "815-462-9225",
"fax_number": "815-462-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGROOT",
"first_name": "MARY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-23",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016005141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00194730",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01634686",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016005141",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.