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PROFESSIONAL FOOT & ANKLE LLC
NPI 1467606152
Podiatrist in Park Forest, IL

Active since November 08, 2008
231 MAIN ST, PARK FOREST, IL 60466(708) 749-3338(708) 748-4332 Get Directions Write a Review

NPPES record last updated: May 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2025, Jul 22, 2024, Mar 28, 2021 (3 updates tracked since 2021).

About Professional Foot & Ankle Llc NPPES

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

PROFESSIONAL FOOT & ANKLE LLC (NPI 1467606152) is a healthcare organization registered as a podiatrist in Park Forest, Illinois and active in the NPI registry since November 2008. The organization lists Jerome R Randall, Member, as its authorized official.

NPPES Registry Identity

NPI1467606152
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePROFESSIONAL FOOT & ANKLE LLC
Location Address231 MAIN STPark Forest, IL 60466-2097
Mailing AddressPo Box 1889Matteson, IL 60443-4889 · (708) 250-0785 · Fax (708) 898-2326
Phone(708) 749-3338
Fax(708) 748-4332
Organization SubpartNo
Authorized OfficialJerome R RandallMember · (708) 250-0785
Enumeration DateNovember 8, 2008
Last NPPES UpdateMay 17, 20253 updates tracked since enumeration
NPPES CertifiedMay 17, 2025
✔ NPI 1467606152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 016005113
Definition
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.
231 MAIN ST, Park Forest, IL 60466
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Other Identifiers 1

Other4632153IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Foot & Ankle Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Professional Foot & Ankle LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jerome Randall, DPM
Podiatry
NPI 1376689257
231 MAIN ST
Park Forest, IL 60466
(708) 748-3338
✔ PECOS✔ Accepts MedicareSame address
Haytham Mansour, D.P.M.
Podiatry
NPI 1811078207
19255 EVERETT LN SUITE B
Mokena, IL 60448
(630) 656-3171
✔ PECOS✔ Accepts Medicare9.9 mi
Ramin Ghazizadeh, DPM
Podiatry
NPI 1649652140
5818 COLUMBIA AVE
Hammond, IN 46320
(219) 237-5160
✔ PECOS✔ Accepts Medicare13 mi

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 Professional Foot & Ankle LLC's NPI number?

The NPI number for Professional Foot & Ankle LLC is 1467606152. It was assigned to this organization in the NPPES registry on November 8, 2008.

Where is Professional Foot & Ankle LLC located?

Professional Foot & Ankle LLC is located at 231 Main St, Park Forest, IL 60466. The listed phone number is (708) 749-3338.

What is Professional Foot & Ankle LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Professional Foot & Ankle LLC enrolled in Medicare?

Yes. Professional Foot & Ankle LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Foot & Ankle LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Professional Foot & Ankle 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Professional Foot & Ankle LLC was last updated on May 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.