1. Home
  2. Directory
  3. Illinois
  4. St Charles
  5. Orthopaedic Surgery
  6. NPI Profile

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: July 26, 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 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 ↗

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 from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 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.

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: 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: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DAVID W FLATT D.C.
Chiropractor (Orthopedic)
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 208-3200
MICHELLE S. KRAMER ATC
Specialist/Technologist (Athletic Trainer)
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 587-5788
MRS. PAMELA MARIE DENHOF ATC
Specialist
2900 FOXFIELD RD, LLA
ST CHARLES, IL 60174
Kane County (630) 587-5788
LAURA KOEPPEL TAGLE MD
Internal Medicine
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 208-3200
DUKANE ALLERGY ASSOCIATES. LTD
Preferred Provider Organization
2900 FOXFIELD RD, SUITE 206
ST CHARLES, IL 60174
Kane County (630) 584-6127
SCOTT DUNCAN MCNAUGHTON M.D.
Internal Medicine
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 208-3200
MARIO BLANQUEL
Specialist/Technologist (Athletic Trainer)
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 208-3200
DR. ROBERT J CALABRIA D.O.
Family Medicine
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 513-8275

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.

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, Ambetter Health of Delaware and Ambetter from Home State Health 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 with the weekly NPPES data releases published by CMS.