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Mario Donald Hodge, C.PED

NPI 1023369501ActiveIndividual· Pedorthist· Mount Vernon, IL

Pedorthist (C.PED) in Mount Vernon, Illinois, licensed in IL, with an NPI issued in September 2012.

Overview

NPI1023369501
StatusActive
Entity typeIndividual
CredentialC.PED
Sole proprietorNo
NPI issuedSep 25, 2012
Last updated in NPPESSep 25, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Pedorthist Primary224L00000X212.000161IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years