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DR. MATTHEW I SAMUELSON M.D.
NPI 1568534147
Orthopaedic Surgery - Foot and Ankle Surgery in Crystal Lake, IL

Active since November 15, 2006
420 N IL ROUTE 31, CRYSTAL LAKE, IL 60012(815) 356-5200(815) 356-5262 Get Directions Write a Review

NPPES record last updated: August 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2017, Jul 13, 2017, Jun 7, 2017 (3 updates tracked since 2017).

About Dr. Matthew I Samuelson M.d. NPPES

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

DR. MATTHEW I SAMUELSON M.D. (NPI 1568534147) is an individual foot and ankle surgery provider in Crystal Lake, Illinois, licensed in Illinois (036-086139) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1568534147
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameDR. MATTHEW I SAMUELSONCredential: M.D.
Location Address420 N IL ROUTE 31Crystal Lake, IL 60012-3711
Mailing Address420 N Il Route 31Crystal Lake, IL 60012-3711 · (815) 356-5200 · Fax (815) 356-5262
Phone(815) 356-5200
Fax(815) 356-5262
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 8, 20173 updates tracked since enumeration
✔ NPI 1568534147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License✔ Licensed in IL · 036-086139
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 036086139 (IL)
420 N IL ROUTE 31, Crystal Lake, IL 60012
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Other Identifiers 4

Medicare UPING34905
Medicare PINL70660
Medicaid036086139IL
Medicare PIN200036417

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.

NORTHERN ILLINOIS MEDICAL CENTER
Durable Medical Equipment & Medical Supplies
420 N IL ROUTE 31
CRYSTAL LAKE, IL 60012
McHenry County (847) 854-7250
DR. SAVAN DIXIT PATEL MD
Orthopaedic Surgery (Sports Medicine)
420 N IL ROUTE 31
CRYSTAL LAKE, IL 60012
McHenry County (815) 356-5200
DR. TIMOTHY G HAVENHILL M.D.
Orthopaedic Surgery (Hand Surgery)
420 N IL ROUTE 31
CRYSTAL LAKE, IL 60012
McHenry County (815) 356-5200
KATELYN ST MARTIN PA-C
Physician Assistant
420 N IL ROUTE 31
CRYSTAL LAKE, IL 60012
McHenry County (815) 356-5200
DR. SAM J BIAFORA M.D.
Orthopaedic Surgery (Hand Surgery)
420 N IL ROUTE 31
CRYSTAL LAKE, IL 60012
McHenry County (815) 356-5200
KAREN A SZUMANSKI OT
Occupational Therapist
420 N IL ROUTE 31
CRYSTAL LAKE, IL 60012
McHenry County (815) 356-5200
MR. MICHAEL G HUMPHREY PT
Physical Therapist
420 N IL ROUTE 31
CRYSTAL LAKE, IL 60012
McHenry County (815) 356-5200
MARK ANDREW ROTERT NP
Nurse Practitioner (Family)
420 N IL ROUTE 31
CRYSTAL LAKE, IL 60012
McHenry County (815) 788-2018

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 Matthew Samuelson's NPI number?

The NPI number for Matthew Samuelson is 1568534147. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Matthew Samuelson located?

Matthew Samuelson practices at 420 N Il Route 31, Crystal Lake, IL 60012. The listed phone number is (815) 356-5200.

What is Matthew Samuelson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

When was this NPI record last updated?

The NPPES record for Matthew Samuelson was last updated on August 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.