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LIBERTYVILLE PODIATRY PC
NPI 1346541158
Podiatrist - Foot & Ankle Surgery in Libertyville, IL

Active since November 10, 2010
1870 W WINCHESTER RD STE 246, LIBERTYVILLE, IL 60048(847) 816-3156(847) 816-9724 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2026, Dec 28, 2021, Nov 5, 2018 and 1 more (4 updates tracked since 2018).

About Libertyville Podiatry Pc NPPES

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

LIBERTYVILLE PODIATRY PC (NPI 1346541158) is a healthcare organization registered as a foot & ankle surgery in Libertyville, Illinois and active in the NPI registry since November 2010. The organization lists Daniel C Surowiec, Owner, as its authorized official.

NPPES Registry Identity

NPI1346541158
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameLIBERTYVILLE PODIATRY PC
Location Address1870 W WINCHESTER RD STE 246Libertyville, IL 60048-5360
Mailing Address1870 W Winchester Rd Ste 246Libertyville, IL 60048-5360 · (847) 816-3156 · Fax (847) 816-9724
Phone(847) 816-3156
Fax(847) 816-9724
Organization SubpartNo
Authorized OfficialDaniel C SurowiecOwner · (847) 816-3156
Enumeration DateNovember 10, 2010
Last NPPES UpdateAugust 12, 20264 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1346541158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1870 W WINCHESTER RD STE 246, Libertyville, IL 60048
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Other Identifiers 2

Other4933497IL · Blue Cross Blue Shield
OtherDR4991IL · Medicare Railroad

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Libertyville Podiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Libertyville Podiatry PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Kaitlyn Vu, DPM
Podiatry
NPI 1649910696
1870 W WINCHESTER RD
Libertyville, IL 60048
(847) 816-3156
✔ PECOS✔ Accepts MedicareSame address
Jared Hart, DPM
Podiatry
NPI 1437611324
1870 W WINCHESTER RD STE 246
Libertyville, IL 60048
(847) 816-3156
✔ PECOS✔ Accepts Medicare0.3 mi
Daniel Surowiec, DPM, MS
Podiatry
NPI 1821001520
1870 W WINCHESTER RD STE 246
Libertyville, IL 60048
(847) 816-3156
✔ PECOS✔ Accepts Medicare0.3 mi

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

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 Libertyville Podiatry PC's NPI number?

The NPI number for Libertyville Podiatry PC is 1346541158. It was assigned to this organization in the NPPES registry on November 10, 2010.

Where is Libertyville Podiatry PC located?

Libertyville Podiatry PC is located at 1870 W Winchester Rd Ste 246, Libertyville, IL 60048. The listed phone number is (847) 816-3156.

What is Libertyville Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Libertyville Podiatry PC enrolled in Medicare?

Yes. Libertyville Podiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Libertyville Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Libertyville Podiatry PC. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Libertyville Podiatry PC was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.