Prairie Podiatry L.L.C.
NPI 1144349747ActiveOrganization· Podiatrist· Springfield, IL
Podiatrist in Springfield, Illinois, registered in NPPES in March 2007. The authorized official on file is John Andrew Shoudel, DPM, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144349747 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Feb 22, 2022 |
| Certified by provider | Feb 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 016004443 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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