Cpo Services, Inc
Organization Active NPI Prosthetic/Orthotic Supplier · Peoria, IL
NPI 1174573307 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1174573307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- License
- 211-000147 (IL)
- Legal business name
- CPO SERVICES, INC
- Practice address
- 741 West Main Street
Peoria, IL 61606 - Phone
- (309) 676-2276
- Fax
- (309) 676-2279
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Amit V Bhanti
- Title
- President/Ceo
- Phone
- (309) 676-2276
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 14
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cpo Services, Inc |
Neuromuscular Elect Stimulators (NMES)/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930080323 | IL | DME Supplier - Orthotic Personnel |
0648471169 | Practice locations: Peoria, IL |
National Provider Directory
- Tax ID family
- Cpo Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 211-000147 | IL | Yes |
Addresses
Primary practice location
741 West Main Street
Peoria, IL 61606
Mailing address
741 West Main Street
Peoria, IL 61606
Phone (309) 676-2276
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07232129 | Other | IL | BLUE CROSS BLUE SHEILD OF |
Other names
- COMPREHENSIVE PROSTHETICS AND ORTHOTICS
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Other providers in Peoria, IL
- Eric Michael Cox
- Victoria N Cox
- Ben Coyer
- Katlyn Coyer
- Sally N. Coyle
- Jeremiah Edward Crabb VI
- Mark Craig
- Megan Craig
- Danielle Cramarosso
- Crane Gilmore & Associates, Inc.
All providers in Peoria, IL · Prosthetic/Orthotic Supplier in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.