PROFESSIONAL FOOT & ANKLE LLC – Podiatrist, NPI 1467606152
Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PROFESSIONAL FOOT & ANKLE LLC
20303, Crawford Avenue, Olympia Fields, Rich Township, Cook County, Illinois, 60461, United States
SUITE 210
OLYMPIA FIELDS, IL 604611041
Phone: (708) 898-2380
Fax: (708) 898-2326
Type: Location
PO BOX 1889
MATTESON, IL 604434889
Phone: (708) 250-0785
Fax: (708) 898-2326
Type: Mailing
231 MAIN ST
PARK FOREST, IL 604662097
Phone: (708) 749-3338
Fax: (708) 748-4332
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (283 days ago).
Enrollment records
1
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090311000367 | O | Clinic/Group Practice | IL | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60461)
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