LAKE IN THE HILLS PODIATRY PC
NPI 1558376202
Podiatrist in Algonquin, IL

Active since July 30, 2006
1441 MERCHANT DR, ALGONQUIN, IL 60102(847) 458-4600(847) 458-4602 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2023, Dec 6, 2021, Nov 16, 2016 (3 updates tracked since 2016).

About Lake In The Hills Podiatry Pc NPPES

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

LAKE IN THE HILLS PODIATRY PC (NPI 1558376202) is a healthcare organization registered as a podiatrist in Algonquin, Illinois and active in the NPI registry since July 2006. The organization lists Kristen Peto, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558376202
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameLAKE IN THE HILLS PODIATRY PC
Location Address1441 MERCHANT DRAlgonquin, IL 60102-5917
Mailing Address1441 Merchant DrAlgonquin, IL 60102-5917 · (847) 458-4600 · Fax (847) 458-4602
Fax(847) 458-4602
Organization SubpartNo
Authorized OfficialKristen PetoOffice Manager · (847) 458-4600
Enumeration DateJuly 30, 2006
Last NPPES UpdateMay 24, 20233 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1558376202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1441 MERCHANT DR, Algonquin, IL 60102

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake In The Hills Podiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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 IDO20100930009904DME · Physician - PodiatryDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake In The Hills Podiatry PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1346256047
1441 MERCHANT DR
Algonquin, IL 60102
(847) 458-4600
✔ PECOS✔ Accepts Medicare2.8 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 Lake In The Hills Podiatry PC's NPI number?

The NPI number for Lake In The Hills Podiatry PC is 1558376202. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Lake In The Hills Podiatry PC located?

Lake In The Hills Podiatry PC is located at 1441 Merchant Dr, Algonquin, IL 60102. The listed phone number is (847) 458-4600.

What is Lake In The Hills Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Lake In The Hills Podiatry PC enrolled in Medicare?

Yes. Lake In The Hills Podiatry PC is registered in the Medicare PECOS enrollment system.

When is Lake In The Hills Podiatry PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Physician - Podiatry) is due for revalidation by February 28, 2027. 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 Lake In The Hills Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Lake In The Hills 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake In The Hills Podiatry PC was last updated on May 24, 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.