PREFERRED PODIATRY GROUP PC – Podiatrist, NPI 1720037138
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PREFERRED PODIATRY GROUP PC
2824 N 66th Ave
Omaha, NE 681043928
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
9000 SW 91st Ave
Tigard, OR 972236809
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
438 N Water Ave
Gallatin, TN 370662306
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
101 S Hill St
LA Crescent, MN 559471389
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
4950 State Road 16
St Augustine, FL 320921613
Phone: (847) 504-5000
Type: Location
225 W Washington St Ste 1500
Chicago, IL 606063485
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
168 N CLINTON ST FL 3
CHICAGO, IL 606611425
Phone: (847) 502-4898
Fax: (847) 504-5015
Type: Location
171 SW 6TH AVE
OAK HARBOR, WA 982772377
Phone: (847) 504-5000
Type: Location
21452 Royalton Rd
Strongsville, OH 441493844
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
1001 Quinn Dr
Waunakee, WI 535972502
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
1951 E State Highway 97
Jourdanton, TX 780261523
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
1330 Sidney Ave
Sterling, CO 807512241
Phone: (847) 504-5000
Type: Location
1650 N Santa Rosa Ave
Tucson, AZ 857124039
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
1821 Anderson Ave NW
Atlanta, GA 303141835
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
1209 Northwood Dr
Anderson, IN 460111027
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
1000 E Howard St
Creston, IA 508012723
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
211 W Oak St
Louisville, KY 402032800
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
1000 Patterson St
Anderson, MO 648317327
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
201 Oakhill Rd
Jasper, AL 355047496
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
848 W ORCHARD DR
BELLINGHAM, WA 982251758
Phone: (360) 715-1338
Type: Location
PO BOX 772294
DETROIT, MI 482770917
Phone: (847) 504-5000
Fax: (844) 443-0082
Type: Mailing
917, Sunterra Way, Wynbrook, Northbrook Park, Spartanburg County, South Carolina, 29316, United States
NORTHBROOK, IL 600650917
Phone: (847) 504-5000
Fax: (844) 443-0082
Type: Mailing
520, Skokie Boulevard, Northfield Township, Cook County, Illinois, 60062, United States
NORTHBROOK, IL 600621601
Phone: (847) 504-5000
Fax: (847) 504-5015
Type: Location
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: 2025-02-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1045 days ago).
Enrollment records
17
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040115000471 | O | Clinic/Group Practice | WI | TBD |
| O20040612000269 | O | Clinic/Group Practice | IN | TBD |
| O20060814000285 | O | Clinic/Group Practice | MO | TBD |
| O20111219000472 | O | Clinic/Group Practice | KY | TBD |
| O20151229002282 | O | Clinic/Group Practice | CO | TBD |
| O20161222000196 | O | Clinic/Group Practice | IA | TBD |
| O20170427001204 | O | Clinic/Group Practice | KS | TBD |
| O20170815000879 | O | Clinic/Group Practice | TN | 2023-08-31 |
| O20180521001471 | O | Clinic/Group Practice | GA | 2024-02-29 |
| O20180710001733 | O | Clinic/Group Practice | OH | 2023-07-31 |
| O20180717002218 | O | Clinic/Group Practice | NE | 2023-07-31 |
| O20180822003649 | O | Clinic/Group Practice | MN | 2023-08-31 |
| O20191011002269 | O | Clinic/Group Practice | AZ | 2026-03-31 |
| O20200129000000 | O | Clinic/Group Practice | AL | 2026-04-30 |
| O20240515002295 | O | Clinic/Group Practice | FL | TBD |
| O20240625002373 | O | Clinic/Group Practice | WA | TBD |
| O20250217000939 | O | Clinic/Group Practice | OR | TBD |
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.
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 68104)
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