PREMIER PODIATRY SERVICES, LTD – Podiatrist, NPI 1528250669

PREMIER PODIATRY SERVICES, LTD is a healthcare provider. based in Chicago, Illinois. specializing in Podiatrist. The NPI Number for PREMIER PODIATRY SERVICES, LTD is 1528250669

Main info

Organization
Name
PREMIER PODIATRY SERVICES, LTD
NPI
1528250669
Phone
(773) 866-9800
Address
6374 N LINCOLN AVE STE 303
Authorized Official
DR. THOMAS DANIEL PAHOLAK PRESIDENT DPM
Enumeration Date
13 August 2007
Last Update Date
25 April 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for PREMIER PODIATRY SERVICES, LTD

  • 303, Lincoln Avenue, New Chicago, Lake County, Indiana, 46342, United States

    CHICAGO, IL 606591283

    Phone: (773) 866-9800

    Fax: (773) 866-1733

    Type: Mailing

  • 7126 N LINCOLN AVE

    LINCOLNWOOD, IL 607122234

    Phone: (773) 866-9800

    Fax: (773) 866-1733

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (951 days ago).

Enrollment records

2

Earliest due date

2023-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060413000474OClinic/Group PracticeIL2025-11-30
O20181026002085OClinic/Group PracticeMI2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60659)

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Reviews

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Frequently asked questions

What is PREMIER PODIATRY SERVICES, LTD's NPI number?
PREMIER PODIATRY SERVICES, LTD's NPI is 1528250669 — the number used across U.S. healthcare to identify this provider.
Is there an active status for PREMIER PODIATRY SERVICES, LTD?
For scheduling context, PREMIER PODIATRY SERVICES, LTD is shown as active in the registry.
What clinical focus is listed for PREMIER PODIATRY SERVICES, LTD?
At a glance, PREMIER PODIATRY SERVICES, LTD is tied to Podiatrist. Clinical services aligned with this taxonomy classification.
Is PREMIER PODIATRY SERVICES, LTD located near Chicago?
PREMIER PODIATRY SERVICES, LTD currently maps to Chicago, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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