MONTICELLO PODIATRY LLC
NPI 1154626661
Clinic/Center - Multi-Specialty in Monticello, IN

Active since January 13, 2011
101 W BROADWAY ST, MONTICELLO, IN 47960(765) 420-2850 Get Directions Write a Review

NPPES record last updated: April 15, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Monticello Podiatry Llc NPPES

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

MONTICELLO PODIATRY LLC (NPI 1154626661) is a healthcare organization registered as a multi-specialty in Monticello, Indiana and active in the NPI registry since January 2011. The organization lists Murtuza Peerbhai, Principal, as its authorized official.

NPPES Registry Identity

NPI1154626661
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMONTICELLO PODIATRY LLC
Location Address101 W BROADWAY STMonticello, IN 47960-2110
Mailing Address101 BroadwayMonticello, IN 47960 · (765) 420-2850
Organization SubpartNo
Authorized OfficialMurtuza PeerbhaiPrincipal · (765) 420-2850
Enumeration DateJanuary 13, 2011
Last NPPES UpdateApril 15, 2013
✔ NPI 1154626661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in IN · #07001110A
101 W BROADWAY ST, Monticello, IN 47960

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monticello Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Monticello Podiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1740316124
101 W BROADWAY ST APARTMENT 311
Monticello, IN 47960
(617) 510-2656
✔ PECOS✔ Accepts MedicareSame address

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 Monticello Podiatry LLC's NPI number?

The NPI number for Monticello Podiatry LLC is 1154626661. It was assigned to this organization in the NPPES registry on January 13, 2011.

Where is Monticello Podiatry LLC located?

Monticello Podiatry LLC is located at 101 W Broadway St, Monticello, IN 47960. The listed phone number is (765) 420-2850.

What is Monticello Podiatry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Monticello Podiatry LLC enrolled in Medicare?

Yes. Monticello Podiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Monticello Podiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Monticello Podiatry LLC. 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 Monticello Podiatry LLC was last updated on April 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.