MD Orthotic & Prosthetic Laboratory, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

060008643213000063 Issued in IL

Legal business name

MD ORTHOTIC & PROSTHETIC LABORATORY, INC.

Practice address

1614 W Central Rd Ste 111
Arlington Heights, IL 60005-2452

Phone

(847) 364-4865

Fax

(888) 635-3135

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Amit V Bhanti

Title

Ceo

Phone

(309) 676-2276

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• MD Orthotic & Prosthetic Laboratory, Inc.

  • Prosthetic/Orthotic Supplier
  • Chicago, IL
  • NPI 1932652567

  2567589658

  Same PAC ID
• MD Orthotic and Prosthetic Laboratory, Inc

  • Prosthetic/Orthotic Supplier
  • Oak Lawn, IL
  • NPI 1205988797

  2567589658

  Same PAC ID
• MD Orthotic and Prosthetic Laboratory, Inc

  • Prosthetic/Orthotic Supplier
  • Joliet, IL
  • NPI 1679625560

  2567589658

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

MD Orthotic Prostheti7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• MD Orthotic & Prosthetic Laboratory, Inc.

  • Prosthetic/Orthotic Supplier
  • Chicago, IL
  • NPI 1932652567
  NPD tax ID
• MD Orthotic and Prosthetic Lab

  • Prosthetic/Orthotic Supplier
  • Joliet, IL
  • NPI 1649322512
  NPD tax ID
• MD Orthotic and Prosthetic Laboratory, Inc

  • Prosthetic/Orthotic Supplier
  • Oak Lawn, IL
  • NPI 1205988797
  NPD tax ID
• MD Orthotic and Prosthetic Laboratory, Inc

  • Prosthetic/Orthotic Supplier
  • Naperville, IL
  • NPI 1376226910
  NPD tax ID
• MD Orthotic and Prosthetic Laboratory, Inc

  • Prosthetic/Orthotic Supplier
  • Joliet, IL
  • NPI 1679625560
  NPD tax ID
• MD Orthotic and Prosthetic Laboratory, Inc.

  • Prosthetic/Orthotic Supplier
  • Olympia Fields, IL
  • NPI 1699159624
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cpo Services, Inc

  • Prosthetist
  • Decatur, IL
  • NPI 1710202056

  Member Of

  NPD member

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1043362932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W MAIN ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061952",
            "telephone_number": "800-334-5705",
            "fax_number": "888-663-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 W CENTRAL RD STE 111",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052452",
            "telephone_number": "847-364-4865",
            "fax_number": "888-635-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD ORTHOTIC & PROSTHETIC LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "BHANTI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-676-2276"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "060008643213000063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Collin McShane, LPC
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• Denise Andrea Meckler, MD
• Medical and Heart Clinic, S.C.
• Medical Pediatrics. Limited

• All providers in Arlington Heights, IL
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.