MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
NPI 1205988797
Prosthetic/Orthotic Supplier in Oak Lawn, IL
NPI Status: Active since January 17, 2007
Contact Information
4710 W 95TH ST STE B4
OAK LAWN, IL
ZIP 60453
Phone: (773) 779-5896
Fax: (773) 779-8869
- Organization
- Prosthetic/Orthotic Supplier
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
This page provides the complete NPI Profile along with additional information for Md Orthotic And Prosthetic Laboratory, Inc, a provider established in Oak Lawn, Illinois operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1205988797 assigned on January 2007. The practitioner's primary taxonomy code is 335E00000X with license number 060008643213000063 (IL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Amit Bhanit Cpo (Ceo)
- NPI
- 1205988797
- Provider Name
- MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
- Entity Type
- Organization
- Location Address
- 4710 W 95TH ST STE B4 OAK LAWN, IL 60453
- Location Phone
- (773) 779-5896
- Location Fax
- (773) 779-8869
- Mailing Address
- 741 W MAIN ST PEORIA, IL 61606
- Mailing Phone
- (800) 334-5705
- Mailing Fax
- (773) 779-8869
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-17-2007
- Last Update Date
- 09-24-2024
- Code Navigator
Md Orthotic And Prosthetic Laboratory, Inc is a medicare supplier with PTAN 20510303 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Lymphedema Compression Treatment Items.
Location Map
Secondary Locations
- 10408 S Western Ave
Chicago, IL 60643
(773) 779-5896
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License No.
- 060008643213000063
- License State
- IL
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 335E00000X | Suppliers | Prosthetic/Orthotic Supplier |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20510303
- Accepts Medicare Assignment
- YES
- Specialities List
- Orthotic Personnel, Prosthetic Personnel.
- Provider Type List
- MEDICAL SUPPLY COMPANY WITH PEDORTHIC PERSONNEL.
- Competitive Bidding
- NO
Supplies List
- Lymphedema Compression Treatment Items -
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 9 | 8 | 8 | 7 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 18 | 8 | 16 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 8 + 8 + 1 + 6 + 7 + 1 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1205988797 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205988797, enumerated in the NPI registry as an "organization" on January 17, 2007
The provider is located at 4710 W 95th St Ste B4 Oak Lawn, Il 60453 and the phone number is (773) 779-5896
This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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