NPIMap

Organization Active NPI

Cpo Services, Inc

  • Prosthetist
  • Decatur, IL
National Provider Identifier
1710202056
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
211000225 Issued in IL
Legal business name
CPO SERVICES, INC
Practice address
3030 N. Woodford Street
Decatur, IL 62526
Phone
(217) 619-0069
Fax
(217) 875-7038
NPI assigned
Mar 30, 2010
Organization subpart
Yes
Parent organization
CPO SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amit Bhanti, CP, LPO
Title
Ceo
Phone
(309) 676-2276

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X 213000118 IL
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X 211000225 IL Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

3030 N. Woodford Street
Decatur, IL 62526

Mailing address

741 W Main St
Peoria, IL 61606-1953
Phone (800) 334-5705

Other names 1

  • Comprehensive Prosthetics and Orthotics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130614000207 IL DME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic PersonnelDME Supplier - Orthotic Personnel 0648471169 Practice locations: Decatur, IL

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cpo Services3030 N. Woodford Street, Decatur, IL 62526-6509(217) 619-0069 Orthotic Personnel|Prosthetic Personnel Accepts assignmentParticipating since Apr 12, 2013

National Provider Directory

National Provider Directory
Tax ID family
Cpo Services Inc15 organizations share this tax ID, including this one
Part of
Cpo Services Inc

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Member organizations 17

Organizations listed as members of this organization in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1710202056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 W MAIN ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061953",
            "telephone_number": "800-334-5705",
            "fax_number": "888-663-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N. WOODFORD STREET",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-619-0069",
            "fax_number": "217-875-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPO SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CPO SERVICES, INC",
        "enumeration_date": "2010-03-30",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "BHANTI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-676-2276",
        "authorized_official_credential": "CP, LPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213000118",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "211000225",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Comprehensive Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.