KEYSTONE ORTHOPEDIC SPECIALISTS S C
NPI 1528020559
Orthopaedic Surgery in Hazel Crest, IL

NPI Status: Active since April 05, 2006

Contact Information

3330 WEST 177TH ST
SUITE 2C
HAZEL CREST, IL
ZIP 60429
Phone: (708) 799-1144
Fax: (708) 799-4899

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance

About KEYSTONE ORTHOPEDIC SPECIALISTS S C

This page provides the complete NPI Profile along with additional information for Keystone Orthopedic Specialists S C, a provider established in Hazel Crest, Illinois operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1528020559 assigned on April 2006. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Keystone Orthopedic Specialists S C operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Martin Hall (Owner)

NPI
1528020559
Provider Name
KEYSTONE ORTHOPEDIC SPECIALISTS S C
Entity Type
Organization
Location Address
3330 WEST 177TH ST SUITE 2C HAZEL CREST, IL 60429
Location Phone
(708) 799-1144
Location Fax
(708) 799-4899
Mailing Address
3330 WEST 177TH ST SUITE 2C HAZEL CREST, IL 60429
Mailing Phone
(708) 799-1144
Mailing Fax
(708) 799-4899
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2006
Last Update Date
08-18-2016
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 
2208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

036074003 (IL)
3213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 
4363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARTIN HALL

Authorized Official Title
OWNER
Authorized Official Phone
(708) 799-1144

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01620925OTHER (01)ILBCBS
407200MEDICARE PIN (08)IN 
000000095658OTHER (01)INBCBS
1023490002MEDICARE NSC (07)IN 
1023490001MEDICARE NSC (07)IL 
367659000OTHER (01)DEPT OF LABOR
557620MEDICARE PIN (08)IL 
CE8619OTHER (01)ILRAILROAD MEDICARE
CE8620OTHER (01)INRAILROAD MEDICARE

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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.
1528020559
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548020510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 2 + 0 + 5 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1528020559 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205898194DR. MARTIN R HALL MD
Individual
Orthopaedic Surgery3330 WEST 177TH ST SUITE 2C
HAZEL CREST, IL 60429
(708) 799-1144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528020559, enumerated in the NPI registry as an "organization" on April 05, 2006

The provider is located at 3330 West 177th St Suite 2c Hazel Crest, Il 60429 and the phone number is (708) 799-1144

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. 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 April 05, 2006. 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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