Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518974153 Individual Practitioner Male Practitioner

Dr. Michael J Petersen , MD

Podiatrist • Mchenry, IL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Petersen, MD is a registered healthcare professional specializing in Podiatrist in Mchenry, IL. Practice services are available at 3922 MERCY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3922 Mercy Dr

Mchenry, IL 600503151

Telephone 8153444499
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Mchenry, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Mchenry, IL (647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
016002938 1 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Robert Schwaner , MD

Emergency Medicine

NPI 1003971144

Doctor of Medicine (M.D.)

Taylor Belo , PTA

Physical Therapy Assistant

NPI 1063137255

Physical Therapist Assistant

Dr. Syed Hassan , MD

Family Medicine

NPI 1063637544

Doctor of Medicine (M.D.)

Dr. Anandu Dileep , DO

Internal Medicine

NPI 1083249775

Doctor of Osteopathic Medicine (D.O.)

Dr. Maria Vlahos , MD

Family Medicine

NPI 1316094030

Doctor of Medicine (M.D.)

Dr. Paul Dehaan , MD

Orthopaedic Surgery - Hand Surgery

NPI 1386727790

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3922 MERCY DR, MCHENRY, IL 600503151 (Tel: 8153444499)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3922 MERCY DR, MCHENRY, IL 600503151 (Tel: 8153444499)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL PETERSEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Podiatrist

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518974153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3922 Mercy Dr

Mchenry, IL 600503151

Phone: 8153444499

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.