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DR. TODD M MACK D.P.M.
NPI 1114039369
Podiatrist - Foot & Ankle Surgery in Oak Park, IL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
18 CHICAGO AVE, OAK PARK, IL 60302(773) 253-3933(773) 437-6780 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2025, Nov 18, 2019, Nov 13, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Todd M Mack D.p.m. NPPES

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

DR. TODD M MACK D.P.M. (NPI 1114039369) is an individual foot & ankle surgery provider in Oak Park, Illinois, licensed in Illinois (016005154) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of William M. Scholl College Of Podiatric Medicine (2002).

NPPES Registry Identity

NPI1114039369
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. TODD M MACKCredential: D.P.M.
Location Address18 CHICAGO AVEOak Park, IL 60302
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373
Phone(773) 253-3933
Fax(773) 437-6780
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2002
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 9, 20254 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1114039369 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
Licenses✔ Licensed in IL · 016005154✔ Licensed in WI · 892-025✔ Licensed in CA · 5325
18 CHICAGO AVE, Oak Park, IL 60302
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12821 Rose StFranklin Park, IL 60131-2928 · Phone (847) 455-5233
Location 2857 W Childs AveMerced, CA 95341-6862 · Phone (866) 682-4842 · Fax (209) 385-5674

Other Identifiers 4

Medicaid43237200WI
Medicaid43267600WI
Other01634612IL · Blue Cross Blue Shield
Medicaid016005154IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Todd M Mack D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658358684
PECOS Enrollment IDI20040707000559
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Todd Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oak Street Health Physicians Group, PC
16 mi
Primary Care
1715 E 95TH ST
Chicago, IL 60617
  • Reassigned Medicare billing, Illinois enrollment
  • 343 clinicians in this Medicare group
NPI 1083051643 (773) 768-4437

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services35 patients

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCOS ERAZO MSW
Social Worker (Clinical)
18 CHICAGO AVE
OAK PARK, IL 60302
Cook County (773) 253-3933
SHUYING CHANG NP
Nurse Practitioner (Family)
18 CHICAGO AVE
OAK PARK, IL 60302
Cook County (773) 253-3933
MR. JORDAN R KELLER FNP-BC
Nurse Practitioner (Family)
18 CHICAGO AVE
OAK PARK, IL 60302
Cook County (773) 253-3933
MARY CAITLIN SCHANTZ NP
Nurse Practitioner (Family)
18 CHICAGO AVE
OAK PARK, IL 60302
Cook County (773) 253-3933
MRS. DEHEDGRA IDOWU AGPCNP-BC
Nurse Practitioner (Gerontology)
18 CHICAGO AVE
OAK PARK, IL 60302
Cook County (773) 253-3933
MR. MARQUES COSBY SR. LCSW
Social Worker (Clinical)
18 CHICAGO AVE
OAK PARK, IL 60302
Cook County (773) 253-3933
MS. ASHLEY ELISE COHEN MSN, APRN, FNP-C
Nurse Practitioner (Family)
18 CHICAGO AVE
OAK PARK, IL 60302
Cook County (773) 253-3933
DR. AMBA AYLOO M.D.
Family Medicine
18 CHICAGO AVE
OAK PARK, IL 60302
Cook County (773) 253-3933

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 Todd Mack's NPI number?

The NPI number for Todd Mack is 1114039369. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Todd Mack located?

Todd Mack practices at 18 Chicago Ave, Oak Park, IL 60302. The listed phone number is (773) 253-3933.

What is Todd Mack's specialty?

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

Is Todd Mack enrolled in Medicare?

Yes. Todd Mack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Todd Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Mack reassigns Medicare benefits to Oak Street Health Physicians Group, PC (Chicago, IL). The 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 Todd Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Todd Mack was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.