ELIZABETH PETELSKI DO
NPI 1043906969
Family Medicine in Mchenry, IL
About Elizabeth Petelski Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH PETELSKI DO (NPI 1043906969) is an individual family medicine provider in Mchenry, Illinois, licensed in Illinois (036.176851) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Petelski Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Petelski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 1,664 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elizabeth Petelski's NPI number?
The NPI number for Elizabeth Petelski is 1043906969. It was assigned to this individual provider in the NPPES registry on April 13, 2023. The provider is also known as Elizabeth Geevarghese.
Where is Elizabeth Petelski located?
Elizabeth Petelski practices at 2507 N Richmond Rd, Mchenry, IL 60051. The listed phone number is (815) 344-2300.
What is Elizabeth Petelski's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elizabeth Petelski enrolled in Medicare?
Yes. Elizabeth Petelski is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Petelski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Petelski reassigns Medicare benefits to Central Dupage Physician Group (Carol Stream, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Petelski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Petelski was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elizabeth Petelski, DO · NPI 1043906969
Family Medicine physician in Mchenry, Illinois. Individual provider, active in the CMS NPPES registry since April 13, 2023.
## Identity
- **NPI:** 1043906969 (Entity type: Individual)
- **Enumerated:** April 13, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036.176851 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2507 N RICHMOND RD, Mchenry, IL 60051-5407
- **Phone:** (815) 344-2300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Central Dupage Physician Group (NPI 1033149844, Carol Stream, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2023
## Record status
- **NPPES last updated:** September 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043906969) · Data from the CMS NPPES public registry.