Potach-Moon Podiatry Group, LLC
NPI 1679957914 · Foot & Ankle Surgery Podiatrist · Cicero, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Potach-Moon Podiatry Group, LLC is a Foot & Ankle Surgery Podiatrist organization in Cicero, IL (NPI 1679957914).
Provider details
- NPI number
- 1679957914
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Luis Mendoza, President(708) 780-8661
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
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
- Pm Podiatry Group
- Doing business as
- Pm Podiatry Group
Registry dates
- Enumerated
- 2015-07-16
- Last updated
- 2019-01-05
Frequently asked questions
- What is Potach-Moon Podiatry Group, LLC's NPI number?
- Potach-Moon Podiatry Group, LLC's National Provider Identifier (NPI) is 1679957914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Potach-Moon Podiatry Group, LLC?
- Potach-Moon Podiatry Group, LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Potach-Moon Podiatry Group, LLC located?
- Potach-Moon Podiatry Group, LLC's practice location on file with NPPES is 5610 W Cermak Rd Unit 2, Cicero, IL 60804-2219.
- What is Potach-Moon Podiatry Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Potach-Moon Podiatry Group, LLC is (708) 780-8661.
- Does Potach-Moon Podiatry Group, LLC accept Medicare?
- Potach-Moon Podiatry Group, 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 Potach-Moon Podiatry Group, LLC?
- The authorized official listed on Potach-Moon Podiatry Group, LLC's NPPES record is Luis Mendoza, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Potach-Moon Podiatry Group, LLC's NPI active?
- Yes — Potach-Moon Podiatry Group, LLC's NPI (1679957914) is active in the NPPES registry as of the last update on 2019-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.