Individual provider Active NPI

Steven Michael Pesenko, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1962506378
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Practice address
25 E Washington
Suite 701
Chicago, IL 60602
Phone
(312) 372-0015
Fax
(312) 372-1410
NPI assigned
Sep 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X IL Primary

Addresses

Primary practice location

25 E Washington
Suite 701
Chicago, IL 60602

Mailing address

25 E Washington
Suite 701
Chicago, IL 60602
Phone (312) 372-0015

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
I20241023004191 IL Practitioner - Podiatry 3971677303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Podiatry CenterGroup PAC ID 0749180636, 6 clinicians

Practice addresses (Care Compare)

7954 W Oakton St
Niles, IL 60714-2457
Phone (847) 823-5510

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100Reported as apm
Quality
85.37
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016003630ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Podiatry Center CurrentSince Oct 1, 2024 Accepting new patients
Northwest Podiatry Center CurrentSince Oct 1, 2024 Accepting new patients

Locations

2124 Ogden Ave
Ste 101
Aurora, IL 60504
Phone (630) 585-8087

3254 Sycamore Rd
DeKalb, IL 60115
Phone (815) 756-9491

13312 Village Green Dr
Huntley, IL 60142
Phone (847) 515-2030

7954 W Oakton St
Niles, IL 60714
Phone (708) 823-5510

31 S Sutton Rd
Streamwood, IL 60107
Phone (630) 830-2155

705 Warrenville Rd
Wheaton, IL 60189
Phone (630) 260-1166

705 Warrenville Rd
Ste B
Wheaton, IL 60189
Phone (630) 668-8277

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962506378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON",
            "address_2": "SUITE 701",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "312-372-0015",
            "fax_number": "312-372-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON",
            "address_2": "SUITE 701",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "312-372-0015",
            "fax_number": "312-372-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESENKO",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.