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GENESIS ORTHOPEDICS & SPORTS MEDICINE LLC
NPI 1346389061
Orthopaedic Surgery in St Charles, IL

Active since February 06, 2007CLIA Certified · 4 labs
2900 FOXFIELD RD, SUITE 102, ST CHARLES, IL 60174(630) 377-1188(630) 377-7360 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2023, Oct 17, 2023, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Genesis Orthopedics & Sports Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS ORTHOPEDICS & SPORTS MEDICINE LLC (NPI 1346389061) is a healthcare organization registered as an orthopaedic surgery in St Charles, Illinois and active in the NPI registry since February 2007. The organization holds 4 active CLIA laboratory certificates, maintains 11 additional practice locations, and lists Hythem P Shadid, Owner, as its authorized official.

NPPES Registry Identity

NPI1346389061
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameGENESIS ORTHOPEDICS & SPORTS MEDICINE LLC
Location Address2900 FOXFIELD RD, SUITE 102St Charles, IL 60174-5799
Mailing Address2900 Foxfield Rd, Suite 102St Charles, IL 60174-5799 · (630) 377-1188 · Fax (630) 377-7360
Phone(630) 377-1188
Fax(630) 377-7360
Organization SubpartNo
Authorized OfficialHythem P ShadidOwner · (630) 377-1188
Enumeration DateFebruary 6, 2007
Last NPPES UpdateOctober 17, 20234 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1346389061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036082388
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2900 FOXFIELD RD, St Charles, IL 60174
Open in Google Maps ↗

Secondary Practice Locations 11

Location 12825 Foxfield Rd Ste 200St Charles, IL 60174-5734 · Phone (630) 377-1188 · Fax (630) 377-7360
Location 2200 S Greenleaf St Ste AGurnee, IL 60031-3398 · Phone (630) 377-1188 · Fax (630) 377-7360
Location 3645 S Central AveChicago, IL 60644-5059 · Phone (630) 377-1188 · Fax (630) 377-7360
Location 44709 Golf Rd Ste 1220Skokie, IL 60076-1231 · Phone (630) 377-1188 · Fax (630) 377-7360
Location 52425 W 22nd St Ste 212Oak Brook, IL 60523-4658 · Phone (630) 377-1188 · Fax (630) 377-7360
Location 64111 W 26th St Ste 200Chicago, IL 60623-4992 · Phone (630) 377-1188 · Fax (630) 377-7360
Location 71 Erie Ct Ste 7050Oak Park, IL 60302-2510 · Phone (630) 377-1188 · Fax (630) 377-7360
Location 81125 Westgate StOak Park, IL 60301-1007 · Phone (630) 377-1188 · Fax (630) 377-7360
Location 91044 N Francisco Ave Ste 405Chicago, IL 60622-2743 · Phone (630) 377-1188 · Fax (630) 377-7360
Location 102641 W Harrison StChicago, IL 60612-3420 · Phone (630) 377-1188 · Fax (630) 377-7360
Location 111315 N Highland Ave Ste 201Aurora, IL 60506-1460 · Phone (630) 377-1188 · Fax (630) 377-7360

Other Identifiers 5

Medicaid036082388IL
Other1205885001IL · Lesniewski Npi
Other04525539IL · Bcbs
Other1477567394IL · Shadid Npi
OtherDO4326IL · Group Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Orthopedics & Sports Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20100930016182DME · Physician - Orthopedic/Orthopedic SurgeryDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Genesis Orthopedics & Sports Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Physical Therapist in Private Practice15
Orthopedic Surgery7
Occupational Therapist in Private Practice5
Nurse Practitioner3
Podiatry2
Sports Medicine1

Nearest to this location (20)

See all 33
Jonathan Wang, M.D.
Orthopedic Surgery
NPI 1376864884
2900 FOXFIELD RD STE 102
St Charles, IL 60174
(877) 377-1188
✔ PECOS✔ Accepts MedicareSame address
Hythem Shadid, M.D.
Orthopedic Surgery
NPI 1477567394
2900 FOXFIELD RD SUITE 102
St Charles, IL 60174
(630) 377-1188
✔ PECOS✔ Accepts MedicareSame address
Anna Fenstermacher, OTD
Occupational Therapist in Private Practice
NPI 1447008313
2825 FOXFIELD RD STE 200
St Charles, IL 60174
(877) 377-1188
✔ Accepts Medicare0.1 mi
Medea Parent
Physical Therapist in Private Practice
NPI 1205727690
2825 FOXFIELD RD
St Charles, IL 60174
(877) 377-1188
✔ Accepts Medicare0.1 mi
Zachary Smith, DPT
Physical Therapist in Private Practice
NPI 1912301219
220 SPRINGFIELD DR STE 300
Bloomingdale, IL 60108
(630) 946-2354
✔ Accepts Medicare8.7 mi
Kevin Smothers, DPT
Physical Therapist in Private Practice
NPI 1033518477
2285 SEQUOIA DR
Aurora, IL 60506
(630) 264-8440
✔ Accepts Medicare11 mi
Patrick Strotman, MD
Orthopedic Surgery
NPI 1407199755
929 W HIGGINS RD
Schaumburg, IL 60195
(847) 285-4200
✔ PECOS✔ Accepts Medicare12 mi
Steven Stakenas, APRN, CNP
Nurse Practitioner
NPI 1558459099
1331 W 75TH ST STE 101
Naperville, IL 60540
(630) 646-7000
✔ PECOS✔ Accepts Medicare13 mi
Juraj Zahatnansky, MD
Sports Medicine
NPI 1588001754
2040 OGDEN AVE STE 401
Aurora, IL 60504
(630) 585-7100
✔ PECOS✔ Accepts Medicare14 mi
Monali Adhikari
Occupational Therapist in Private Practice
NPI 1619731106
430 WOODMOOR DR UNIT 205
Lombard, IL 60148
(262) 402-8802
✔ Accepts Medicare14 mi
Carissa Gualano
Occupational Therapist in Private Practice
NPI 1619526365
1911 ROHLWING RD STE A
Rolling Meadows, IL 60008
(224) 248-9449
17 mi
James Randolph, PT, DPT
Physical Therapist in Private Practice
NPI 1255450623
1001 COMMERCE DR STE 600
Oak Brook, IL 60523
(630) 933-1500
✔ Accepts Medicare18 mi
Gina Kuhrt, PT, DPT
Physical Therapist in Private Practice
NPI 1538714134
1001 75TH ST STE 145B
Woodridge, IL 60517
(630) 991-2454
✔ Accepts Medicare18 mi
James Spahn, PT, DPT
Physical Therapist in Private Practice
NPI 1053334268
2122 YORK RD STE 300
Oak Brook, IL 60523
(630) 575-6200
✔ Accepts Medicare19 mi
Mark Cavalenes, M.D.
Orthopedic Surgery
NPI 1437231057
1125 WESTGATE ST
Oak Park, IL 60301
(708) 848-7700
✔ PECOS✔ Accepts Medicare25 mi
Isabel Sison, DPT
Physical Therapist in Private Practice
NPI 1083501654
7222 W CERMAK RD STE 110
Riverside, IL 60546
(312) 432-2826
✔ Accepts Medicare25 mi
Rabiya Farooqui
Physical Therapist in Private Practice
NPI 1063227270
2222 CHESTNUT AVE STE 101
Glenview, IL 60026
(847) 243-6041
✔ Accepts Medicare26 mi
Jacqueline Pizinger, APN
Nurse Practitioner
NPI 1811290216
1445 ESSINGTON ROAD
Joliet, IL 60435
(815) 741-6900
✔ PECOS✔ Accepts Medicare27 mi
Nolan Horner, M.D.
Orthopedic Surgery
NPI 1396310058
2641 W HARRISON ST
Chicago, IL 60612
(877) 377-1188
✔ PECOS✔ Accepts Medicare30 mi
Jonathan Cruz
Occupational Therapist in Private Practice
NPI 1124757752
10201 S CICERO AVE STE A
Oak Lawn, IL 60453
(708) 658-2770
✔ Accepts Medicare32 mi
See all 33 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2217164

Genesis Orthopedics & Sports Medicine · Oak Park, IL
Active · expires Mar 17, 2027
CLIA Number14D2217164
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorHythem P. Shadid M D
Laboratory Phone(630) 377-1188
Laboratory LocationGenesis Orthopedics & Sports Medicine1 Erie Ct - Ste 7050, Oak Park, IL 60302
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2201879

Genesis Orthopedics & Sports Medicine · Chicago, IL
Active · expires Nov 23, 2026
CLIA Number14D2201879
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorHythem P. Shadid
Laboratory Phone(630) 377-1188
Laboratory LocationGenesis Orthopedics & Sports Medicine4111 W 26th St Suite 200, Chicago, IL 60623
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2201882

Genesis Orthopedics & Sports Medicine · St Charles, IL
Active · expires Nov 23, 2026
CLIA Number14D2201882
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorHythem P. Shadid
Laboratory Phone(630) 377-1188
Laboratory LocationGenesis Orthopedics & Sports Medicine2900 Foxfield Rd Suite 102, St Charles, IL 60174
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2332164

Genesis Orthopedics & Sports Medicine · Oak Brook, IL
Active · expires Oct 14, 2027
CLIA Number14D2332164
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorHythem P. Shadid
Laboratory Phone(630) 377-1188
Laboratory LocationGenesis Orthopedics & Sports Medicine2425 W 22nd St - Ste 103, Oak Brook, IL 60523
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Genesis Orthopedics & Sports Medicine LLC's NPI number?

The NPI number for Genesis Orthopedics & Sports Medicine LLC is 1346389061. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Genesis Orthopedics & Sports Medicine LLC located?

Genesis Orthopedics & Sports Medicine LLC is located at 2900 Foxfield Rd Suite 102, St Charles, IL 60174. The listed phone number is (630) 377-1188.

What is Genesis Orthopedics & Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Genesis Orthopedics & Sports Medicine LLC enrolled in Medicare?

Yes. Genesis Orthopedics & Sports Medicine LLC is registered in the Medicare PECOS enrollment system.

When is Genesis Orthopedics & Sports Medicine LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Genesis Orthopedics & Sports Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 6 Medicare specialties reassign their Medicare billing to Genesis Orthopedics & Sports Medicine LLC. A 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 the clinician's services. The largest specialties are Physical Therapist in Private Practice (15), Orthopedic Surgery (7) and Occupational Therapist in Private Practice (5). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Genesis Orthopedics & Sports Medicine LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Genesis Orthopedics & Sports Medicine LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Genesis Orthopedics & Sports Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesis Orthopedics & Sports Medicine LLC was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.