PREMIER FOOT AND ANKLE OF ILLINOIS, PC
NPI 1467867234
Podiatrist - Foot & Ankle Surgery in Maryville, IL

Q: What is Premier Foot And Ankle Of Illinois, PC's specialty?

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

Active since June 30, 2014

6810 STATE ROUTE 162, SUITE 20, MARYVILLE, IL 62062(618) 288-2835(618) 288-6162 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2016, Aug 9, 2016 (2 updates tracked since 2016).

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About Premier Foot And Ankle Of Illinois, Pc NPPES

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

PREMIER FOOT AND ANKLE OF ILLINOIS, PC (NPI 1467867234) is a healthcare organization registered as a foot & ankle surgery in Maryville, Illinois and active in the NPI registry since June 2014. The organization lists Gabriel Cardenas, Owner/podiatrist, as its authorized official.

NPPES Registry Identity

NPI1467867234

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NamePREMIER FOOT AND ANKLE OF ILLINOIS, PC

Location Address6810 STATE ROUTE 162, SUITE 20Maryville, IL 62062-8587

Mailing Address6810 State Route 162, Suite 20Maryville, IL 62062-8587 · (618) 288-2835 · Fax (618) 288-6162

Phone(618) 288-2835

Fax(618) 288-6162

Organization SubpartNo

Authorized OfficialGabriel CardenasOwner/podiatrist · (618) 288-2835

Enumeration DateJune 30, 2014

Last NPPES UpdateNovember 18, 20162 updates tracked since enumeration

✔ NPI 1467867234 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

License✔ Licensed in IL · 016.005608

6810 STATE ROUTE 162, Maryville, IL 62062

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Other Identifiers 2

OtherF100153987IL · Medicare Ptan Group

Medicare PIN1467867234IL

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)

Premier Foot And Ankle Of Illinois, Pc 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 Premier Foot And Ankle Of Illinois, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gabriel Cardenas, D.P.M.

Podiatry

NPI 1043521719

6810 STATE ROUTE 162 SUITE 20
Maryville, IL 62062

(618) 288-2835

✔ 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 Premier Foot And Ankle Of Illinois, PC's NPI number?

The NPI number for Premier Foot And Ankle Of Illinois, PC is 1467867234. It was assigned to this organization in the NPPES registry on June 30, 2014.

Where is Premier Foot And Ankle Of Illinois, PC located?

Premier Foot And Ankle Of Illinois, PC is located at 6810 State Route 162 Suite 20, Maryville, IL 62062. The listed phone number is (618) 288-2835.

What is Premier Foot And Ankle Of Illinois, PC's specialty?

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

Is Premier Foot And Ankle Of Illinois, PC enrolled in Medicare?

Yes. Premier Foot And Ankle Of Illinois, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Foot And Ankle Of Illinois, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Premier Foot And Ankle Of Illinois, PC. 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 Premier Foot And Ankle Of Illinois, PC was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.