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PM PODIATRY GROUP
NPI 1679957914
Podiatrist - Foot & Ankle Surgery in Cicero, IL

Active since July 16, 2015
5610 W CERMAK RD UNIT 2, CICERO, IL 60804(708) 780-8661(708) 780-9537 Get Directions Write a Review

NPPES record last updated: January 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pm Podiatry Group NPPES

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

PM PODIATRY GROUP (NPI 1679957914) is a healthcare organization registered as a foot & ankle surgery in Cicero, Illinois and active in the NPI registry since July 2015. The organization lists Luis E Mendoza, President, as its authorized official.

NPPES Registry Identity

NPI1679957914
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePOTACH-MOON PODIATRY GROUP, LLC
Location Address5610 W CERMAK RD UNIT 2Cicero, IL 60804-2219
Mailing Address5610 W Cermak Rd Unit 2Cicero, IL 60804-2219 · (708) 780-8661 · Fax (708) 780-9537
Phone(708) 780-8661
Fax(708) 780-9537
Organization SubpartNo
Authorized OfficialLuis E MendozaPresident · (708) 780-8661
Enumeration DateJuly 16, 2015
Last NPPES UpdateJanuary 5, 2019
✔ NPI 1679957914 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
5610 W CERMAK RD UNIT 2, Cicero, IL 60804
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Other Names 1

Doing Business AsPm Podiatry Group

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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pm Podiatry Group, 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 (4)

Luis Mendoza, DPM
Podiatry
NPI 1306887328
5610 W CERMAK RD
Cicero, IL 60804
(708) 780-8661
✔ PECOS✔ Accepts MedicareSame address
Tony Perez, DPM
Podiatry
NPI 1477587277
553 W 31ST ST
Chicago, IL 60616
(312) 842-2230
✔ PECOS✔ Accepts Medicare6.4 mi
David Hiltzik, D.P.M
Podiatry
NPI 1235238155
1720 GRAND AVE
Waukegan, IL 60085
(847) 336-3338
✔ PECOS✔ Accepts Medicare36 mi
Sydney Yau, DPM
Podiatry
NPI 1609009646
2121 WILSHIRE BLVD SUITE 101
Santa Monica, CA 90403
(310) 828-0011
✔ PECOS✔ Accepts Medicare1,751 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 Potach-Moon Podiatry Group, LLC's NPI number?

The NPI number for Potach-Moon Podiatry Group, LLC is 1679957914. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider is doing business as Pm Podiatry Group.

Where is Potach-Moon Podiatry Group, LLC located?

Potach-Moon Podiatry Group, LLC is located at 5610 W Cermak Rd Unit 2, Cicero, IL 60804. The listed phone number is (708) 780-8661.

What is Potach-Moon Podiatry Group, LLC's specialty?

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

Is Potach-Moon Podiatry Group, LLC enrolled in Medicare?

Yes. Potach-Moon Podiatry Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Potach-Moon Podiatry Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Potach-Moon Podiatry Group, 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 Potach-Moon Podiatry Group, LLC was last updated on January 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.