Abigail Alayne Mahoney, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005175 Issued in IL

Practice address

5017 N Glen Park Place Rd
Peoria, IL 61614-4677

Phone

(309) 691-1589

Fax

(309) 692-2032

NPI assigned

Aug 5, 2006

Last updated

Sep 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cares Community HealthGroup PAC ID 2769418151, 45 clinicians

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cares Community Health

  dba One Community Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1447297379
  Medicare reassignment Care Compare group NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group NPD
• Mahoney & Associates PC

  • Foot & Ankle Surgery Podiatrist
  • Peoria, IL
  • NPI 1538596416
  Authorized official Same address or phone
• Cares Community Health

  dba One Community Health - Carmichael Health Center

  • Federally Qualified Health Center (FQHC)
  • Carmichael, CA
  • NPI 1255180873
  NPD
• Cares Community Health

  dba One Community Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1982114492
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Redwood City, CA
  • NPI 1639252604
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Acpm Podiatry Group, LTD

  • Foot & Ankle Surgery Podiatrist
  • Peoria, IL
  • NPI 1730261363
  NPD (past)
• Graham Hospital Association

  dba Graham Hospital Hospice

  • Community Based Hospice Care Agency
  • Canton, IL
  • NPI 1134139785
  NPD (past)
• Methodist Medical Center of Illinois

  • Psychiatric Hospital Unit
  • Peoria, IL
  • NPI 1275583155
  NPD (past)
• Proctor Community Hospital

  dba Proctor Home Care

  • Home Health Agency
  • Peoria, IL
  • NPI 1487624318
  NPD (past)
• Saint Francis Medical Center

  dba Saint Francis Medical Center Neurology

  • Neurology Physician
  • Peoria, IL
  • NPI 1154370195
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1710996103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "STE 117",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145068",
            "telephone_number": "309-689-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 N GLEN PARK PLACE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144677",
            "telephone_number": "309-691-1589",
            "fax_number": "309-692-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "ABIGAIL",
        "middle_name": "ALAYNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005175",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laticia N Maher, LMT
• Jainil Maheshwari, MD
• Mary Carol Mahieu, PTA
• Phoebe Ann Maholovich, RN
• Mahoney & Associates PC
• John Damen Mahoney, M.D.
• Dejan Maksimovic, DO
• Jane Ho Maksimovic, D.O.
• James Joseph Malavolti, D.C.
• Andres L Maldonado, M.D.

• Foot & Ankle Surgery Podiatrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.