Addison Podiatry Center PLLC
NPI 1790351757 · Foot & Ankle Surgery Podiatrist · Addison, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Addison Podiatry Center PLLC is a Foot & Ankle Surgery Podiatrist organization in Addison, IL (NPI 1790351757).
Provider details
- NPI number
- 1790351757
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Sullivan, Doctor of Podiatric Medicine(630) 205-4557
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
5 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
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Frequently asked questions
- What is Addison Podiatry Center PLLC's NPI number?
- Addison Podiatry Center PLLC's National Provider Identifier (NPI) is 1790351757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Addison Podiatry Center PLLC?
- Addison Podiatry Center PLLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Addison Podiatry Center PLLC located?
- Addison Podiatry Center PLLC's practice location on file with NPPES is 1250 W Lake St, Addison, IL 60101-5744.
- What is Addison Podiatry Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Addison Podiatry Center PLLC is (630) 543-3000.
- Does Addison Podiatry Center PLLC accept Medicare?
- Addison Podiatry Center PLLC 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 Addison Podiatry Center PLLC?
- The authorized official listed on Addison Podiatry Center PLLC's NPPES record is Jessica Sullivan, Doctor of Podiatric Medicine. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Addison Podiatry Center PLLC's NPI active?
- Yes — Addison Podiatry Center PLLC's NPI (1790351757) is active in the NPPES registry as of the last update on 2021-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.