ADDISON PODIATRY CENTER PLLC
NPI 1790351757
Podiatrist - Foot & Ankle Surgery in Addison, IL
About Addison Podiatry Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADDISON PODIATRY CENTER PLLC (NPI 1790351757) is a healthcare organization registered as a foot & ankle surgery in Addison, Illinois and active in the NPI registry since June 2021. The organization lists Jessica Sullivan, Doctor Of Podiatric Medicine, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Addison Podiatry Center Pllc 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 Addison Podiatry Center PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Addison Podiatry Center PLLC's NPI number?
The NPI number for Addison Podiatry Center PLLC is 1790351757. It was assigned to this organization in the NPPES registry on June 1, 2021.
Where is Addison Podiatry Center PLLC located?
Addison Podiatry Center PLLC is located at 1250 W Lake St, Addison, IL 60101. The listed phone number is (630) 543-3000.
What is Addison Podiatry Center PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Addison Podiatry Center PLLC enrolled in Medicare?
Yes. Addison Podiatry Center PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Addison Podiatry Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Addison Podiatry Center PLLC. 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 Addison Podiatry Center PLLC was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Addison Podiatry Center Pllc · NPI 1790351757
Foot & Ankle Surgery organization in Addison, Illinois. Organization record, active in the CMS NPPES registry since June 1, 2021.
## Identity
- **NPI:** 1790351757 (Entity type: Organization)
- **Enumerated:** June 1, 2021
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Jessica Sullivan, DOCTOR OF PODIATRIC MEDICINE
## Practice location
- **Address:** 1250 W LAKE ST, Addison, IL 60101-5744
- **Phone:** (630) 543-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790351757) · Data from the CMS NPPES public registry.