Pro Podiatry, LLC
NPI 1609064369 · Foot & Ankle Surgery Podiatrist · Pontiac, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pro Podiatry, LLC is a Foot & Ankle Surgery Podiatrist organization in Pontiac, IL (NPI 1609064369).
Provider details
- NPI number
- 1609064369
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Scott O'Connor, Owner(815) 842-6551
- License
- 016005106 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Premier Podiatry
Additional practice locations (1)
- 2501 E College Ave Ste CBloomington, IL 61704-2484Phone: (309) 807-0384
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Frequently asked questions
- What is Pro Podiatry, LLC's NPI number?
- Pro Podiatry, LLC's National Provider Identifier (NPI) is 1609064369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pro Podiatry, LLC?
- Pro Podiatry, LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Pro Podiatry, LLC located?
- Pro Podiatry, LLC's practice location on file with NPPES is 1512 W Reynolds St, Pontiac, IL 61764-9781.
- What is Pro Podiatry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pro Podiatry, LLC is (815) 842-6551.
- Does Pro Podiatry, LLC accept Medicare?
- Pro Podiatry, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pro Podiatry, LLC?
- The authorized official listed on Pro Podiatry, LLC's NPPES record is Scott O'Connor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pro Podiatry, LLC's NPI active?
- Yes — Pro Podiatry, LLC's NPI (1609064369) is active in the NPPES registry as of the last update on 2025-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.