DR. MARK BLITSTEIN M.D.
NPI 1922086560
Specialist in Lake Forest, IL
NPI Status: Active since January 04, 2006
Contact Information
800 N WESTMORELAND RD
SUITE 102
LAKE FOREST, IL
ZIP 60045
Phone: (847) 295-1300
Fax: (847) 295-1574
- Individual
- Male
- Specialist
- Accepts Insurance
- PECOS Enrolled
About MARK BLITSTEIN
This page provides the complete NPI Profile along with additional information for Mark Blitstein, a provider established in Lake Forest, Illinois with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1922086560 assigned on January 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1922086560
- Provider Name
- DR. MARK BLITSTEIN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 800 N WESTMORELAND RD SUITE 102 LAKE FOREST, IL 60045
- Location Phone
- (847) 295-1300
- Location Fax
- (847) 295-1574
- Mailing Address
- 800 N WESTMORELAND RD SUITE 102 LAKE FOREST, IL 60045
- Mailing Phone
- (847) 295-1300
- Mailing Fax
- (847) 295-1574
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-04-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License State
- IL
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - 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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| L83880 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| C40398 | MEDICARE UPIN (02) | IL |
Medicare Participation & PECOS Enrollment Status
Mark Blitstein is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. MARK BLITSTEIN M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 9 | 2 | 2 | 0 | 8 | 6 | 5 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 0 | 8 | 12 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 0 + 8 + 1 + 2 + 5 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1922086560 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932183365 | LAKE FOREST MEDICAL SC Organization | Internal Medicine | 800 N WESTMORELAND RD SUITE 100 LAKE FOREST, IL 60045 (847) 604-8144 |
| 1306825740 | DR. TARA N TROY M.D. Individual | Specialist | 800 N WESTMORELAND RD SUITE 102 LAKE FOREST, IL 60045 (847) 295-1300 |
| 1235109745 | SURGEONS GROUP, S.C. Organization | Surgery | 800 N WESTMORELAND RD SUITE 205 LAKE FOREST, IL 60045 (847) 234-4310 |
| 1447220942 | KIM R SOBINSKY M.D. Individual | Surgery | 800 N WESTMORELAND RD SUITE 205 LAKE FOREST, IL 60045 (847) 234-4310 |
| 1992775340 | JOHN R ANDREWS M.D. Individual | Colon & Rectal Surgery | 800 N WESTMORELAND RD SUITE 205 LAKE FOREST, IL 60045 (847) 234-4310 |
| 1174638241 | NORTHSHORE EYE CARE, LTD Organization | Ophthalmology | 800 N WESTMORELAND RD SUITE 206 LAKE FOREST, IL 60045 (847) 295-2445 |
| 1336256437 | DR. KATINA C VENETOS MD Individual | Dermatology | 800 N WESTMORELAND RD SUITE 100C LAKE FOREST, IL 60045 (847) 234-1177 |
| 1104993401 | AMY CARTWRIGHT BROWNLEE PA C Individual | Physician Assistant | 800 N WESTMORELAND RD SUITE 100C LAKE FOREST, IL 60045 (847) 234-1177 |
| 1629211651 | HEATHER A. DOWNES, M.D., P.C., L.L.C. Organization | Dermatology | 800 N WESTMORELAND RD SUITE 100-B LAKE FOREST, IL 60045 (847) 295-7700 |
| 1265746705 | MISS BROOKE ANN FOLKROD CCC-SLP Individual | Speech-Language Pathologist | 800 N WESTMORELAND RD 201 LAKE FOREST, IL 60045 (847) 535-6114 |
| 1285628859 | JOHN WILLIAM BENGE MD Individual | Internal Medicine (Cardiovascular Disease) | 800 N WESTMORELAND RD SUITE 102 LAKE FOREST, IL 60045 (847) 735-8550 |
| 1376891549 | KRISTEN COLEMAN NP Individual | Nurse Practitioner (Adult Health) | 800 N WESTMORELAND RD LAKE FOREST, IL 60045 (847) 735-8550 |
| 1760477889 | DR. NED I ZALLIK M.D. Individual | Internal Medicine | 800 N WESTMORELAND RD SUITE 201 LAKE FOREST, IL 60045 (847) 926-0106 |
| 1295838647 | MARK A RUDBERG MD MPH Individual | Internal Medicine | 800 N WESTMORELAND RD STE 101 LAKE FOREST, IL 60045 (847) 234-6363 |
| 1104881218 | JAMES D FRYDMAN MD Individual | Surgery | 800 N WESTMORELAND RD SUITE 205 LAKE FOREST, IL 60045 (847) 234-4310 |
| 1235271941 | MARIELLEN PATRICIA ANTMAN APN-CNP Individual | Nurse Practitioner (Adult Health) | 800 N WESTMORELAND RD SUITE 205 LAKE FOREST, IL 60045 (847) 735-8550 |
| 1467592840 | DR. ELIZABETH P KUNREUTHER M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 800 N WESTMORELAND RD SUITE 101 LAKE FOREST, IL 60045 (847) 535-8852 |
| 1245200757 | STEPHEN W GANSHIRT M.D. Individual | Surgery | 800 N WESTMORELAND RD SUITE 205 LAKE FOREST, IL 60045 (847) 234-4310 |
| 1154891083 | KATHRYN VITALE MSN, APN, AGCNS-BC Individual | Clinical Nurse Specialist | 800 N WESTMORELAND RD LAKE FOREST, IL 60045 (847) 234-5600 |
| 1558315747 | ASSOCIATE S IN GASTROENTEROLOGY & LIVER DISEASE , LLC Organization | Specialist | 800 N WESTMORELAND RD SUITE 102 LAKE FOREST, IL 60045 (847) 295-1300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922086560, enumerated in the NPI registry as an "individual" on January 04, 2006
The provider is located at 800 N Westmoreland Rd Suite 102 Lake Forest, Il 60045 and the phone number is (847) 295-1300
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on January 04, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.