Eligijus P Lelis, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036077101 Issued in IL

Practice address

963 N 129TH Infantry Dr
Suite 110
Joliet, IL 60435-3103

Phone

(815) 729-3777

Fax

(815) 725-9358

NPI assigned

May 20, 2006

Sex

Male

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 6

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eligijus P Lelis MD and Associates, SCGroup PAC ID 5890736102, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elelis@eplmvp.intellechartdirect.net

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

• Eligijus P. Lelis M.D. & Associates, S.C.

  • Ophthalmology Physician
  • Joliet, IL
  • NPI 1700830957
  Medicare reassignment Care Compare group Authorized official
• Eligijus P Lelis MD & Associates, SC

  • Durable Medical Equipment & Medical Supplies
  • New Lenox, IL
  • NPI 1619205077
  NPD (past) Authorized official

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1043264252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 N 129TH INFANTRY DR",
            "address_2": "SUITE 110",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353103",
            "telephone_number": "815-729-3777",
            "fax_number": "815-725-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 N 129TH INFANTRY DR",
            "address_2": "SUITE 110",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353103",
            "telephone_number": "815-729-3777",
            "fax_number": "815-725-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELIS",
        "first_name": "ELIGIJUS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036077101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000991581",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "180018594",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077101",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "180018592",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "00099129581",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "CG9902",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy Medical Group
• Amanda Marie Lehr, CCC-SLP
• Michael S Leininger, PA PHYSICIAN ASST
• Lorraine H Leiser, LCPC
• Thomas F Lelio, M.D.
• Amanda J Lemay, FNP-C
• Tracey Lemke, IBCLC
• Jennifer Lennhardt, MHS SLP/L
• Megan Leonard, PA
• Andrey Leonov, M.D.

• Ophthalmology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.